中外医疗China&ForeignMedicalTreatment2023NO.21中外医疗China&ForeignMedicalTreatment临床医学临床医学开颅夹闭术与介入栓塞术对颅内动脉瘤患者预后的影响比较袁运尚沛县人民医院神经外科，江苏沛县221600［摘要］目的对比研究颅内动脉瘤疾病采取开颅夹闭术、介入栓塞术治疗的效果及对患者预后恢复的影响。方法随机选取2018年1月—2022年12月沛县人民医院神经外科收诊治疗颅内动脉瘤患者60例，根据病案编号随机抽选结果分为两组，各30例。对照组采取开颅夹闭术治疗，观察组实施介入栓塞术治疗，对比两组治疗效果。结果观察组手术总用时、住院总时长、切口长度明显短于对照组，差异有统计学意义（P<0.05）；观察组术中出血量（25.51±1.97）mL少于对照组，差异有统计学意义（t=125.693，P<0.05）。观察组术后炎症因子水平明显低于对照组，差异有统计学意义（P<0.05）。观察组术后并发症发生率低于对照组，且随访6个月，观察组预后良好率明显高于对照组，差异有统计学意义（P<0.05）。结论临床治疗颅内动脉瘤首选介入栓塞术，相比传统开颅夹闭术对患者造成的伤害更小，炎症影响更低，并发症更少，且预后患者恢复良好。［关键词］开颅夹闭术；介入栓塞术；颅内动脉瘤；预后［中图分类号］R651［文献标识码］A［文章编号］1674-0742（2023）07(c)-0078-05ComparisonoftheEffectsofCraniotomyClippingandInterventionalEm⁃bolizationonthePrognosisofPatientswithIntracranialAneurysmsYUANYunshangDepartmentofNeurosurgery,PeixianPeople'sHospital,Peixian,JiangsuProvince,221600China[Abstract]ObjectiveTocompareandstudytheeffectofcraniotomyclippingandinterventionalembolizationontheprognosisandrecoveryofpatientswithintracranialaneurysm.Methods60patientswithintracranialaneurysmsadmit⁃tedtotheNeurosurgeryDepartmentofPeixianPeople'sHospitalfromJanuary2018toDecember2022wererandomlyselectedandrandomlydividedintotwogroupsbasedontheirmedicalrecordnumbers,with30patientsineachgroup.Thecontrolgroupreceivedcraniotomyandclippingsurgery,whiletheobservationgroupreceivedinterventionalembo⁃lizationtherapy.Thetreatmenteffectsofthetwogroupswerecompared.ResultsThetotalsurgicaltime,hospitaliza⁃tiontimeandincisionlergthintheobservationgroupweresignificantlyshorterthanthoseinthecontrolgroup,andthe...
