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目的对比分析动脉瘤性蛛网膜下腔出血介入栓塞和手术夹闭两种治疗方法的优劣性。方法回顾性分析动脉瘤性蛛网膜下腔出血介入栓塞45例和手术夹闭33例的疗效。结果介入栓塞45例46枚动脉瘤中44枚动脉瘤行弹簧圈栓塞,2枚行支架植入+弹簧圈栓塞,术后恢复良好者36例,轻残6例,重残0例,死亡3例;手术33例42枚动脉瘤40枚行单个动脉瘤夹夹闭,2枚行两个动脉瘤夹夹闭,术后恢复良好者12例,轻残15例,重残1例,死亡5例。结论动脉瘤性蛛网膜下腔出血的治疗中,介入栓塞较手术治疗创伤小,见效快,致残率和致死率相对较低,但费用相对昂贵。
Objective To compare and analyze the advantages and disadvantages of two methods of interventional embolization and surgical clipping for aneurysmal subarachnoid hemorrhage. Methods Retrospective analysis of aneurysmal subarachnoid hemorrhage interventional embolization in 45 cases and surgical closure in 33 cases. Results Forty-four of 45 aneurysms embolized by embolization were embolized with coil and embolized with two coil stents. There were 36 cases with good recovery after operation, 6 cases with mild disability, 0 case of severe disability and 3 cases of death In the operation, 40 aneurysms of 42 aneurysms were occluded with a single aneurysm clip and two aneurysm clips were closed with two aneurysms. Among them, 12 were well recovered, 15 were mildly disabled, 1 was severely disabled, and 5 were severely disabled example. Conclusions In the treatment of aneurysmal subarachnoid hemorrhage, the interventional embolization is less invasive, quicker, and the morbidity and mortality are relatively lower, but the cost is relatively expensive.