老年前交通动脉瘤患者破裂急性期介入栓塞术与开颅夹闭术疗效分析

Clinical Efficacy of Microsurgery and Interventional Therapy in the Treatment of Acute Stage Rupturedanterior Communicating Aneurysms of Old Age

摘要: 目的：探讨老年前交通动脉瘤患者破裂急性期，介入栓塞术与开颅夹闭术两种治疗方式的临床疗效。方法：回顾性分析96例老年前交通动脉瘤破裂患者，随机采用介入栓塞或开颅手术治疗，分析两组临床资料，比较两组患者预后、并发症及死亡率等。结果：血管内介入治疗组患者的有效95.83%，高于纤维手术组的83.3%，(P > 0.05)；血管内介入治疗组的脑血管痉挛发生率为6.25%，明显低于开颅手术组的20.83% (P < 0.05)。结论：在老年前交通动脉瘤破裂患者的治疗中，介入栓塞术，创伤小，恢复快，有效降低患者的并发症率。对于老年患者来说，相较于开颅夹闭术，更具优势。

Abstract: Objective: To discuss the clinical effect of microsurgery and interventional therapy in the treatment of ruptured anterior communicating aneurysms of old age in the acute phase. Methods: 96 cases of patients with acute stage ruptured anterior communicating aneurysms of old age hospitalized in our hospital were randomly selected as the research objects; the patients were divided into intravascular interventional therapy group and microsurgery group, with 48 cases in each group. Patients in the intravascular interventional therapy group were treated with intravascular interventional therapy, while patients in the microsurgery group were treated by microsurgery. The curative effects of the two groups were compared. Results: The rate of excellence efficacy in intravascular interventional therapy group was 95.83%, which was significantly higher than 83.3% in the microsurgery group (P < 0.05). The incidence of cerebral vasospasm in the intravascular interventional therapy group was significantly lower than that in the microsurgery group (P < 0.05). Conclusions: In the treatment of ruptured anterior communicating aneurysms of old age, intravascular interventional therapy could effectively improve the therapeutic effect, and reduce the disability rate, with good clinical effect, worthy of promotion.