Effect observation of early aneurysm surgery clipping in the treatment of intracranial aneurysm
10.3760/cma.j.issn.1008-6706.2012.17.014
- VernacularTitle:颅内动脉瘤施行早期动脉瘤夹闭术的效果观察
- Author:
Jingang YU
;
Hanmin CHEN
;
Shengfang LIAO
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysms;
Early;
Embolization
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(17):2586-2588
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of early aneurysm surgery clipping in the treatment of intracranial aneurysm.Methods 72 patients with intracranial aneurysms were selected.42 patients (44 aneurysms) were taken microsurgical clipping( clipping group),30 patients( 33 aneurysms ) were taken vascular embolization(embolization group).The prognostic evaluation and clinical indicators of two groups were observed.Results There were no significant differences in GOS evaluation when discharge and mRS evaluation after postoperative 3 months in two groups(all P ＞0.05 ).The length of stay,hospital cost and complete occlusion rate of clipping group was ( 17.1 ± 3.2 ) d,( 5.5 ± 1.2) ten thousand yuan,100.0％,respectively,and better than those of embolization group [ (9.1 ± 2.6) d,( 12.1 ± 2.6) ten thousand yuan,83.3 ％ ] ( all P ＜ 0.05 ).There were no significant differences in cerebral aneurysms rupture rate and complication rate between the two group ( x2 =0.01,0.02,all P ＞ 0.05 ).Conclusion The microsurgical clipping has the therapeutic equivalence with embolization group,and has respective advantages and disadvantages.The microsurgical clipping could be the preferred treatment method,especially suitable for application in the primary hospital.
