[1]张 扬,顾大群,晁迎九,等.血管内栓塞和开颅夹闭治疗急性期低级别破裂大脑中动脉瘤效果比较[J].介入放射学杂志,2016,(01):7-10.
　ZHANG Yang,GU Da- qun,CHAO Ying- jiu,et al.Treatment for low- grade ruptured middle cerebral artery aneurysms in acute phase： comparison of curative effect between endovascular embolization and craniotomy clipping[J].journal interventional radiology,2016,(01):7-10.
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血管内栓塞和开颅夹闭治疗急性期低级别破裂大脑中动脉瘤效果比较 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年01期
页码:
7-10
栏目:
神经介入
出版日期:
2016-01-25

文章信息/Info

Title:
Treatment for low- grade ruptured middle cerebral artery aneurysms in acute phase： comparison of curative effect between endovascular embolization and craniotomy clipping
作者:
张 扬;  顾大群;  晁迎九;  高 歌;  陈 昱;  余 舰;  魏建军;  牛朝诗;  傅先明
Author(s):
ZHANG Yang;  GU Da- qun;  CHAO Ying- jiu;  GAO Ge;  CHEN Yu;  YU Jian;  WEI Jian- jun;  NIU Chao- shi;  FU Xian- ming
Department of Neurosurgery， Affiliated Anhui Provincial Hospital， Anhui Medical University， Anhui Provincial Key Laboratory of Brain Function and Brain Disease， Anhui Provincial Stereotactic Neurosurgical Institute， Hefei， Anhui Province 230001， China
关键词:
【关键词】 动脉瘤;  血管内栓塞术;  开颅夹闭术;  结果
文献标志码:
A
摘要:
【摘要】 目的 分析血管内栓塞术和开颅夹闭术治疗对急性期低级别破裂大脑中动脉瘤患者预后的影响。方法 回顾性分析2011年1月至2014年6月收治的急性期低级别破裂大脑中动脉瘤患者临床资料。根据治疗方法将患者分成两组，A组动脉瘤破裂后72 h内接受血管内栓塞术，B组动脉瘤破裂后72 h内接受开颅夹闭术。对两组患者临床特征及影像学特征作单因素分析和Logistic多因素分析。结果 共有95例患者符合本研究纳入标准，其中A组52例，B组43例，两组患者入院时临床特征及影像学特征无明显差异。术后6个月临床随访显示A组患者中48例（92.3%）预后良好（mRS评分0～2分），B组患者中38例（88.4%）预后良好，两组间差异无统计学意义（P=0.727）。DSA复查显示A组动脉瘤复发率较B组高，但差异无统计学意义（P=0.373）。多因素Logistic回归分析显示，两种治疗方法对患者预后没有影响（P=0.354，OR 2.431，95%CI 0.371～15.927）。结论 血管内栓塞术和开颅夹闭术治疗低级别破裂大脑中动脉瘤均能取得满意效果，临床上应根据患者具体病情选择最合适术式并尽早治疗。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１5-０5-０3）
（本文编辑：边 佶）
更新日期/Last Update: 2016-01-22