Abstract:Objective To explore the application effect of ultrasound-assisted technology in the treatment of intracranial distal aneurysms (PIA) with craniotomy and clipping. Methods A total of 100 PIA patients admitted to Jiangmen Central Hospital of Guangdong Province from September 2017 to July 2020 were selected for retrospective analysis. Accorded to whether ultrasound assisted technology was carried out, they were divided into control group (50 cases) and observation group (50 cases), those who did not perform the ultrasound-assisted technique for craniotomy and clipping were the control group, and those who performed the ultrasound-assisted technique for the craniotomy and clipping were the observation group. The effect of craniotomy and clipping, operation time, hospital stay and postoperative complications were compared between the two groups. Follow-up 2 months, the Glasgow Outcome Score (GOS) of the two groups was evaluated at discharge, 1 month after discharge, and 2 months after discharge. Results The complete clipping rate of the observation group (100.00%) was higher than that of the control group (90.00%), and the difference was statistically significant (P<0.05); the operation time and hospital stay of the observation group were shorter than those of the control group, and the differences were statistically significant (P<0.05); the total incidence of complications in the observation group (4.00%) was lower than that of the control group (20.00%), the difference was statistically significant(P<0.05); the observation group was discharged from the hospital, 1 month after discharge, and 2 monthafter discharge,the GOS scores were higher than those of the control group, and the differences were statistically significant (P<0.05).Conclusion The application of ultrasound-assisted technology in craniotomy and clipping surgery for PIA can improve the clipping effect, shorten the operation time and hospital stay, reduce postoperative complications, and improve the prognosis.
Wang YT,Emeto TI,Lee J,et al.Mouse models of intracranial aneurysm[J].Brain Pathol,2015,25(3):237-247.
[2]
Rinaldo L,McCutcheon BA,Murphy ME,et al.Quantitative analysis of the effect of institutional case volume on complications after surgical clipping of unruptured aneurysms[J].J Neurosurg,2017,127(6):1297-1306.
[8Béres-Molnár KA,Folyovich A,Szloboda P,et al.Simultaneous subdural,subarachnoideal and intracerebral haemorrhage after rupture of a peripheral middle cerebral artery aneurysm[J].Ideggyogy Sz,2020,73(05-06):213-216.