低级别幕上脑动静脉畸形的临床治疗方式选择及疗效比较

2015-11-13樊骏

中外医疗 2015年28期

樊骏

山西省汾阳医院神经外科，山西汾阳032200

[摘要]目的比较不同方式治疗低级别幕上脑动静脉畸形的临床效果。方法随机选取该院自2013年3月—2015年3月收治的60例低级别幕上脑动静脉畸形患者作为研究对象，随机分为A、B两组，B组给予血管内栓塞治疗方案，A组采用显微外科手术方案，比较两组患者的治疗效果。结果A组治疗总有效率为90.0%，B组总有效率为96.7%，两组治疗有效率对比差异无统计学意义（P>0.05）；A组并发症发生率为33.3%，B组并发症发生率为10.0%，两组并发症发生率对比差异有统计学意义（P<0.05）；A组住院时间为（25.4±2.3）d，B组为（14.9±1.6）d，两组住院时间对比差异有统计学意义（P<0.05）。结论在低级别幕上脑动静脉畸形患者的临床治疗中，采用血管栓塞方案，临床治疗有效率高，患者并发症发生率低，住院时间短，值得推广。

[关键词]脑动静脉畸形；血管栓塞；手术；治疗

[中图分类号]R7

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0087-02

[作者简介]樊骏(1978.6-)，男，山西汾阳人，本科，主治医师，研究方向：脑动静脉畸形方向。

Abstract[]Objective To compare the clinical effect of different modes for treating low-level supratentorial cerebral arteriovenous malformations.Methods 60 cases of patients with low-level supratentorial cerebral arteriovenous malformations admitted into the hospital from March 2013 to March 2015 were selected as the research object and were randomly divided into two groups: group A and group B.Group B received endovascular embolization therapy while group A received microsurgical operation scheme.The treatment effects were compared between the two groups.Results The total effective rate of group A was 90.0% while that of group B was 96.7% and the difference was not statistically significant (P > 0.05); The occurrence rate of complications in group A was 33.3% while that in group B was 10.0% and the difference was statistically significant (P < 0.05); the length of stay of group A was (25.4±2.3d) while of group B was (14.9±1.6) d and the difference was statistically significant (P<0.05).Conclusion In the treatment of low-level supratentorial cerebral arteriovenous malformations, the scheme of endovascular embolization can produce high clinical efficacy, lower complication rate and shorter hospitalization time, therefore this method is worthy of promotion.

收稿日期：（2015-07-09）

Difference Treatments for Low-level Supratentorial Cerebral Arteriovenous Malformations and Comparison of the Efficacy

FAN Jun

Department of Neurosurgery, Fenyang Hospital, Fenyang, Shanxi Province, 032200 China

[Key words]Cerebral arteriovenous malformations; Endovascular embolization; Surgery; Treatment

脑动静脉畸形是临床常见脑血管畸形疾病，常见于青壮年群体，可诱发头痛、颅内出血、神经功能障碍等症状，影响患者的生活质量，严重者可能威胁患者生命安全[1]。临床上对低级别幕上脑动静脉畸形患者的治疗多采用显微手术及血管栓塞方案，但对两者疗效的评估临床研究者尚且存在一定的争议[2]。鉴于此，为比较显微外科手术与血管栓塞方案治疗低级别幕上脑动静脉畸形的临床效果，该研究对该院2013年3月—2015年3月收治的60例患者展开了随机对照研究，现报道如下。