血管内栓塞术与血管夹闭术用于颅内动脉瘤破裂急性期的效果比较

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Abstract [Abstract]Objective To compare the effect of endovascular embolization and vascular clipping for the acute phase of intracranial aneurysm rupture.Methods A total of 157 patients with acute intracranial aneurysm rupture from March 2016 to January 2018 admitted to the First People′s Hospital of Fuzhou in Jiangxi Province were enrolled in the study.They were divided into the observation group 1(n=81,treated with vascular clamping)and the observation group 2(n=76,treated with endovascular embolization)according to the random number table method.The surgical indexes(intraoperative blood loss,medical expenses,hospitalization time)and postoperative complications were compared between the two groups.All patients were followed up for 6 months in the outpatient department to observe the prognosis of the two groups.Results The intraoperative blood loss of the observation group 2 was less than that of the observation group 1,the medical expenses were higher than that of the observation group 1,the hospitalization time was shorter than that of the observation group 1,and the differences were statistically significant(P<0.05).There was no significant difference in the good prognosis rate between the two groups (P>0.05).The postoperative infection rate of the observation group 2 was lower than that of the observation group 1,the incidence rate of vasospasm was higher than that of the observation group 1,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence rates of postoperative cerebral ischemia,aneurysm rupture and total complications between the two groups(P>0.05).Conclusion Both endovascular embolization and vascular clipping used for the treatment of acute intracranial aneurysm rupture can obtain the good prognosis.The former has less intraoperative blood loss,faster postoperative recovery and lower infection rate,while the latter has lower medical expenses and less vasospasm.

Key words： Acute phase Intracranial aneurysm Vascular clipping Rupture Endovascular embolization

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