血管内介入栓塞治疗隐匿性脑血管畸形出血的疗效及安全性

摘要

Objective:To study and discuss the clinical efficacy and safety of endovascular embolization in the treatment of occult intracranial vascular malformations hemorrhage.Method:From January 2014 to March 2015,128 cases of occult intracranial vascular malformations in our hospital were selected as the research objects, they were divided into the operation group and the embolism group,each group had 64 cases.The operation group was treated with removing the abnormal blood vessels and cleanning the hematoma under the microscope,the embolism group was treated with endovascular embolization,the clinical efficacy and life function of two groups were compared.Result:The total occlusion rate in the embolism group was lower than the operation group,the most of embolization rate was higher than the operation group,the differences were statistically significant(P<0.05), but there was no significant difference in two groups resection rate of small partial embolization(P>0.05).The proportion of patients with life function for the first class in the embolism group was higher than the operation group,the difference was statistically significant(P<0.05).Conclusion:The treatment effect of endovascular embolization in the treatment of occult intracranial vascular malformations is similar to the operation group,but has higher security,is a kind of more ideal clinical treatment method,not only can achieve good therapeutic effect, but also can guarantee the life function of patients after treatment and prevent the occurrence of surgical sequelae, it is worthy of clinical promotion and application.%目的：研究与探讨血管内介入栓塞治疗隐匿性脑血管畸形出血的临床疗效及安全性。方法：选取2014年1月-2015年3月本院收治的隐匿性脑血管畸形患者128例作为研究对象，按照随机数字表法分为手术组和栓塞组，每组64例。手术组于显微镜下切除畸形的血管并清理血肿，栓塞组采用血管内介入栓塞治疗方法进行治疗，比较两组患者治疗后的临床疗效和生活功能。结果：栓塞组完全栓塞率低于手术组，大部分栓塞率高于手术组，比较差异均有统计学意义（P<0.05），而两组小部分栓塞切除率比较差异无统计学意义（P>0.05）；栓塞组生活功能为一级的患者比例高于手术组，比较差异有统计学意义（P<0.05）。结论：血管内介入栓塞治疗隐匿性脑血管畸形的治疗效果与手术治疗类似，但安全性较高，是一种较为理想的临床治疗方法，不仅能够取得较好的治疗效果，还能够保证患者治疗后的生活功能和防止手术后遗症的发生，值得在临床进行广泛的推广应用。