关键词: Anterior circulation aneurysms Craniotomy clipping Efficacy Interventional embolization Security

来  源:   DOI:10.12669/pjms.39.5.7092   PDF(Pubmed)

Abstract:
UNASSIGNED: To investigate the clinical efficacy and safety of interventional embolization in the treatment of anterior circulation aneurysms.
UNASSIGNED: Eighty patients with anterior circulation aneurysms admitted to People\'s Hospital of Leshan from June 2019 to December 2021 were retrospectively analyzed. According to the different surgical methods, they were divided into two groups: the observation group and the control group. Patients in the observation group were given interventional embolization, while those in the control group were given craniotomy clipping. The surgical efficacy, postoperative neurological function and quality of life, surgical prognosis and surgical complications of the two groups were compared.
UNASSIGNED: The intraoperative blood loss and hospitalization time in the observation group were lower than those in the control group (p<0.05). The scores of the Hunt-Hess and modified Rankin scale in the observation group were significantly lower than those in the control group three months after surgery (p<0.05). The good prognosis rate of the observation group was higher than that of the control group (p<0.05). Moreover, the complication rate of the observation group was 12.50%, which was significantly lower than 32.50% in the control group (p<0.05).
UNASSIGNED: Interventional embolization shows the advantages of minimally invasive procedures such as shorter operative times and shorter hospital stays. It has better clinical safety because it can significantly improve the neurological function and quality of life of patients, improve the prognosis of patients, and reduce the incidence of complications.
摘要:
探讨介入栓塞治疗前循环动脉瘤的临床疗效及安全性。
对2019年6月至2021年12月乐山市人民医院收治的80例前循环动脉瘤患者进行回顾性分析。根据手术方式的不同,分为观察组和对照组。观察组患者给予介入栓塞治疗,对照组给予开颅夹闭。手术疗效,术后神经功能和生活质量,比较两组患者的手术预后及手术并发症。
观察组术中出血量、住院时间均低于对照组(p<0.05)。观察组术后3个月的Hunt-Hess评分和改良Rankin量表评分均显著低于对照组(p<0.05)。观察组预后良好率高于对照组(p<0.05)。此外,观察组并发症发生率为12.50%,显著低于对照组的32.50%(p<0.05)。
介入栓塞术显示了微创手术的优势,例如更短的手术时间和更短的住院时间。能显著改善患者的神经功能和生活质量,具有较好的临床安全性,改善患者的预后,减少并发症的发生。
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