血管栓塞介入术与眶上外侧入路显微术治疗前交通动脉瘤的回顾性比较

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1、血管栓塞介入术与眶上外侧入路显微术治疗前交通动脉瘤的回顾性比较周海万政强滕宏伟周静仇劲松江苏省滨海县人民医院神经外科江苏省盐城市第一人民医院神经外科摘要：目的：比较分析血管栓塞介入术与眶上外侧入路显微手术治疗前交通动脉瘤的效果。方法:对木院及市一院2014年1月2()17年1月收治的40例前交通动脉瘤患者病例资料进行冋顾性分析，根据不同治疗方法将其分为介入组(血管栓塞介入)与显微组(眶上外侧入路显微镜夹闭)，比较两组手术相关指标、术后并发症、术后6个月格拉斯哥预后(G0S)评分结果、认知功能障碍发生率及随访情况。结果：介入组手术时

2、间(60.25±21.37)min,比显微组的(153.68±20.61)min显著短，手术成功率83.33%,比显微组的100.00%显著低，差异有统计学意义;两组住院时间、术后并发症发生率、术后半年预后良好率、认知功能障碍发生率及末次随访瘤颈残留、再出血率比较差异均无统计学意义。结论:眶上外侧入路显微手术夹闭相比血管栓塞成功率高，术后预后可能更好，但其手术时间显著长，血管栓塞介入相比显微手术对患者认知功能影响小，建议根据患者情况选择合适术式。关键词：前交通动脉瘤;血管栓寒介入;显微夹闭;眶上外侧入路;作者简介：万政强，E-in

3、a订:wzq_731122007@sina.com收稿日期：2017-08-20RetrospectivestudyofendovascularinterventionalembolizationandsupraorbitallateralmicrosurgeryforthetreatmentofanteriorcommunicatingarteryaneurysmsZhouHaiWangZheng-qiangTengHong-weiZhouJingChouJing-songDepartmentofNeurosurgery,Bin

4、haiPeople'sHospitalofJiangsu;DepartmentofNeurosurgery,YanchengFirstPeople'sHospitalofJiangsu;Abstract：ObjectiveTocomparetheeffectsofendovascularinterventionalembolizationandsupraorbitdllateralmicrosurgeryinthetreatmentofanteriorcommunicatingarteryaneurysms.MethodsThec

5、linicaldataof40patientswithanteriorcommunicatingarteryaneurysmstreatedinourhospitalfromJanuary2014toJanuary2017wereretrospectivelyanalyzed.Accordingtothedifferenttreatmentmethods,thepatientsweredividedintointerventiongroup(treatedwithendovascularinterventionalemboliza

6、tion)andmicrosurgerygroup(treatedwithsupraorbitallateralmicroscopicclipping)•Thesurgeryrelatedindexes,postoperativecomplications,theGlasgowoutcomescore(GOS),theincideneeofcognitiveimpairmcntandfollow-upwerecomparedbetweenthetwogroups.ResultsThesurgicaltimeofinterventi

7、ongroupwassignificantlyshorterthanthatofmicrosurgerygroup[(60.25±21.37)minvs(153.68±20.61)min],andthesurgicalsuccessrateofsurgerywassignificantlylowerthanthatinmicrosurgerygroup(83.33%vs100.00%).Therewasnosignificantdifferencebetweenthetwogroupsinhospitalizationtime,t

8、heincidenceofpostoperativecomplications,goodandexcellentrateofprognosisinsixmonthsaftersurgery,theincidenceofcognitiveimpair