目的:探讨开颅夹闭和血管内栓塞治疗颅内动脉瘤的效果比较及并发症。方法:从2003～2008年近五年来我院收治的颅内动脉瘤54例,其中开颅夹闭24例(Hunt Hess分级Ⅰ～Ⅱ级20例,Ⅲ级2例,Ⅳ级2例),共26个动脉瘤。血管内栓塞30例(HuntHess分级Ⅰ～Ⅱ级23例,Ⅲ级5例,Ⅳ级2例),共31个动脉瘤。临床结果按GOS进行评价。结果:两组的良好率、并发症及死亡率无显著差别(P gt;0.05)。随访平均12月,Ⅰ～Ⅱ级动脉瘤患者治疗良好率为100.0％(43/43),并发症发生率为4.7％(2/43),Ⅲ～Ⅳ级者分别为18.2％(2/11)和90.9％(10/11),两者相差显著(P lt;0.05)。结论:开颅夹闭和血管内栓塞治疗颅内动脉瘤,二者疗效相仿,各有优缺点。动脉瘤患者病情级别越高,治疗效果越差。
Citation：
YU Deming,LIU Shengjun,DING Changyun.. Comparison of Effects and Complications between Craniotomy Clipping and Endovascular Embolization in the Treatment of Intracranial Aneurysms. West China Medical Journal, 2009, 24(6): 1481-1483. doi:
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MORALES F, MAILLO A, HERNANDEZ J, et al. Evaluation of microsurgical treatment in a series of intracranial aneurysms[J]. Neurochirurgia (Austr),2003,14(1):5-15.
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程美雄,谢晓东,王朝华,等.Neuroform支架结合弹簧圈治疗颅内复杂动脉瘤[J].华西医学,2009,24(1):148-150.
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王新,黄正松,曾进胜,等.颅内动脉GDC栓塞治疗并发的缺血性脑损害[J].中风与神经疾病杂志,2004,21(2):152-154.
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- 1. CHICOINE M R. Microsurgery and clipping: the gold standard for the treatment of intracranial aneurysms[J]. J Neurosurg Anesthesiol,2003,15(1):61-63.
- 2. MORALES F, MAILLO A, HERNANDEZ J, et al. Evaluation of microsurgical treatment in a series of intracranial aneurysms[J]. Neurochirurgia (Austr),2003,14(1):5-15.
- 3. THORNTON J， BASHIR Q， ALETICH V A, et al. What percentage of surgically clipped intracranial aneurysms have residual necks?[J]Neurosurgery,2000,46(6):1294-1298. .
- 4. 程美雄,谢晓东,王朝华,等.Neuroform支架结合弹簧圈治疗颅内复杂动脉瘤[J].华西医学,2009,24(1):148-150.
- 5. 王新,黄正松,曾进胜,等.颅内动脉GDC栓塞治疗并发的缺血性脑损害[J].中风与神经疾病杂志,2004,21(2):152-154.
