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目的探讨破解微小脑动脉瘤急性期行栓塞治疗的临床效果。方法选取本院2012年1月~2013年1月收治的微小脑动脉瘤破裂急性期患者40例,随机分为对照组(15例)和观察组(25例),对照组患者行开颅手术,观察组患者行动脉介入栓塞治疗,观察两组患者的临床疗效,并开展比较与分析。结果对照组2例患者发生了再出血情况,发现后立即开展了二次手术。观察组未发生再出血情况,经12个月随访亦无复发产生。对照组患者治疗的优良率为73.3%,观察组为88.0%,观察组显著好于对照组差异具有统计学意义(P<0.05),对照组患者死亡率为6.7%,观察组为4.0%,两组患者的死亡率差异无统计学意义(P>0.05)。结论本次研究开展介入栓塞治疗获得的临床效果较好,能够明显改善患者的临床症状,使其生命体征恢复至稳定状态,并且再出血几率较低,值得进一步研究与推广。
Objective To investigate the clinical effect of embolization in the treatment of acute cerebral aneurysms. Methods Forty patients with acute ruptured cerebral aneurysm who were treated in our hospital from January 2012 to January 2013 were randomly divided into control group (n = 15) and observation group (n = 25). Patients in the control group underwent craniotomy The patients in the observation group underwent arterial interventional embolization. The clinical efficacy of the two groups was observed and compared and analyzed. Results In the control group, 2 cases of rebleeding occurred, and immediately after the operation, secondary surgery was performed. No rebleeding occurred in the observation group. No recurrence occurred after 12 months of follow-up. In the control group, the excellent and good rate of treatment was 73.3% in the observation group and 88.0% in the observation group, and the difference between the observation group and the control group was statistically significant (P <0.05). The mortality rate of the control group was 6.7% and that of the observation group was 4.0% There was no significant difference in mortality between the two groups (P> 0.05). Conclusion The interventional embolization in this study has achieved good clinical results, which can significantly improve the clinical symptoms of patients and restore the vital signs to a stable state, and the risk of rebleeding is low, which deserves further study and promotion.