Comparison of the two methods in the treatment of intracranial aneurysms
10.3760/cma.j.issn.1008-6706.2012.06.024
- VernacularTitle:两种方法治疗颅内动脉瘤疗效比较
- Author:
Yankai XU
;
Shaoqin ZHENG
;
Runlong LAI
;
Chuwei CAI
;
Wangan LI
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysms;
Neurosurgery;
Endovascular
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(6):848-849
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the effect of the neurosurgical clipping and endovascular for treating intracranial aneurysm.MethodsRetrospectively analyzed the clinical data of 110 cases with intracranial aneurysms.The patients were divided into intervention group(55 patients with endovascular treatment) and surgery group(55 patients with neurosurgical clipping treatment) according to different methods,followed forup 1 ～4 months,and immediately evaluated the efficacy.The Chinese stroke scale(CSS) and activities of daily living(ADL) score were used for prognostic evaluation.ResultsThe immediate effect:the marked efficacy in 40 cases,efficacy in 10 cases and inefficacy in 5 cases,and the total effective rate in the intervention group was 90.9％,while the surgery group were 32 cases,10 cases,13 cases,and the total effective rate was 76.4％.There was significantl differences between the two groups ( x2 =3.96,P ＜ 0.05 ) ; the CSS and ADL scores significantly lower than pre-treatment ( t =9.12,8.05,P ＜0.05).ConclusionEndovascular treatment for intracranial aneurysms could improve the clinical efficacy and improve patients self-care ability,and significantly improve the prognosis.
