[1]符传艺,陈健龙,张茂,等.介入栓塞与显微手术夹闭治疗后交通动脉瘤伴急性脑积水效果比较[J].介入放射学杂志,2016,(06):473-477.
 FU Chuan-yi,CHEN Jian-long,ZHANG Mao,et al.Interventional embolization and microsurgical clipping for the treatment of posterior communicating artery aneurysm complicated by acute hydrocephalus: comparison of therapeutic effect[J].journal interventional radiology,2016,(06):473-477.
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介入栓塞与显微手术夹闭治疗后交通动脉瘤伴急性脑积水效果比较 ()

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

卷:
期数:
2016年06期
页码:
473-477
栏目:
神经介入
出版日期:
2016-06-25

文章信息/Info

Title:
Interventional embolization and microsurgical clipping for the treatment of posterior communicating artery aneurysm complicated by acute hydrocephalus: comparison of therapeutic effect
作者:
符传艺陈健龙张茂莫少伟刘健王鹏程赵建农
Author(s):
FU Chuan-yi CHEN Jian-long ZHANG Mao MO Shao-wei LIU Jian WANG Peng-cheng ZHAO Jian-nong
 Department of Neurosurgery, Hainan Provincial People’s Hospital, Haikou, Hainan Province 570311, China
关键词:
【关键词】介入栓塞 显微手术夹闭 后交通动脉瘤 分流依赖性脑积水
文献标志码:
A
摘要:
【摘要】目的比较介入栓塞与显微手术夹闭两种术式治疗后交通动脉瘤伴急性脑积水的效果。 方法回顾性分析2005年10月至2013年9月海南省人民医院神经外科收治的61例后交通动脉瘤伴急性脑积水患者临床资料,根据治疗方式不同分为介入栓塞组和显微手术夹闭组。术后随访1年,比较两组分流依赖性脑积水发生率及预后,根据改良Rankin量表评分评价预后(0~2分为预后良好,3~6分为预后不良)。 结果介入栓塞组分流依赖性脑积水发生率(36.0%,9/25)高于显微手术夹闭组(19.5%,5/36),差异有统计学意义(χ2=4.079,P<0.05);介入栓塞组预后优良率(84.0%,21/25)高于显微手术夹闭组(58.3%,21/36),差异有统计学意义(χ2=4.532,P<0.05)。 结论后交通动脉瘤伴急性脑积水经介入栓塞术治疗后分流依赖性脑积水发生率高于显微手术夹闭术,但预后更好,为优先选择的治疗方式。



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备注/Memo

备注/Memo:
(收稿日期:2015-08-17)
(本文编辑:边佶)
更新日期/Last Update: 2016-06-21