Therapeutic Effects of Early Surgical Clipping and Interventional Embolization in the Treatment of Ruptured Anterior Communicating Artery Aneurysms and the Influence on Perioperative Indicators and Postoperative Cmplications
ZENG Weipei, WU Jie, CHEN Taidong
Qionghai People's Hospital,Qionghai Hainan 571400, China
Abstract：Objective: To compare the therapeutic effects of early surgical clipping and interventional embolization in the treatment of ruptured anterior communicating artery aneurysms, and their impace on perioperative indicators and postoperative complications. Methods: Eighty-one patients with ruptured anterior communicating artery aneurysms admitted to our hospital from May 2015 to May 2020 were retrospectively selected as observation subjects, and the enrolled patients were divided into surgical clamping group (n=41) and interventional embolization group (n=40) according to the grouping of surgical methods, and the two groups were compared, and the changes in blood pressure, Glasgow coma (GOS) score, modified Rankin scale (MRS) score before and after treatment were observed. ) scores before and after treatment, and to record post-treatment outcomes and post-operative complications.Results: The duration of surgery and hospital stay were shorter in the interventional embolization group than in the surgical clipping group (P<0.05), but the cost of surgery was more than in the surgical clamping group (P<0.05); the central venous pressure, mean arterial pressure, GOS score and MRS score were significantly better in the interventional embolization group than in the surgical cliping group after treatment (P<0.05); the overall efficiency of the interventional embolization group was higher than that of the surgical cliping group [90.00% (38/40) vs. 80.49% (33/41)] (P<0.05). The difference in the incidence of adverse effects between the two groups was not statistically significant (P>0.05).Conclusion: Surgical cliping and interventional embolisation are both clinically effective and safe for ruptured anterior communicating aneurysms, with interventional embolisation being more advantageous in reducing hospital stays, restoring blood pressure and improving neurological function, but it is more expensive than surgical cliping.
曾维培, 吴杰, 陈太董. 破裂前交通动脉瘤早期外科夹闭和介入栓塞治疗疗效及对患者围术期指标和术后并发症的影响[J]. 河北医学, 2022, 28(4): 680-683.
ZENG Weipei, WU Jie, CHEN Taidong. Therapeutic Effects of Early Surgical Clipping and Interventional Embolization in the Treatment of Ruptured Anterior Communicating Artery Aneurysms and the Influence on Perioperative Indicators and Postoperative Cmplications. HeBei Med, 2022, 28(4): 680-683.
2022, Vol. 28 
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