Shengwei Zou, Huaizhong Huang, Jun Liu, Jian-hua Xiong
{"title":"显微外科夹持与血管内介入栓塞对后交通动脉瘤合并动眼肌麻痹患者神经功能恢复的影响比较","authors":"Shengwei Zou, Huaizhong Huang, Jun Liu, Jian-hua Xiong","doi":"10.3760/CMA.J.ISSN.1008-1372.2020.02.019","DOIUrl":null,"url":null,"abstract":"Objective \nTo compare the influences of microsurgical clipping and intravascular interventional embolization on the nerve function recovery in patients with posterior communicating aneurysm combined with oculomotor paralyses. \n \n \nMethods \nEighty-six patients with posterior communicating artery aneurysm accompanied by oculomotor nerve palsy admitted to Qianjiang Central Hospital of Chongqing from May 2015 to May 2017 were randomly divided into observation group (n=43) and control group (n=43) by random number table method. The control group was treated with microsurgical clipping, while the observation group was treated with intravascular interventional embolization. The therapeutic effect, neurological function recovery, postoperative complications and prognosis of the two groups were compared. \n \n \nResults \nThe operation time, intraoperative blood loss, postoperative respiratory recovery time and postoperative extubation time of the observation group were significantly less than those of the control group (P<0.05); the complete recovery of the observation group was significantly higher than that of the control group, and no recovery was significantly lower than that of the control group (P<0.05); the incidence of complications in the observation group was significantly lower than that in the control group (P<0.05); the proportion of 5 points in the observation group was significantly higher than that in the control group (P<0.05). \n \n \nConclusions \nIntravascular interventional embolization in the treatment of posterior communicating aneurysm combined with oculomotor paralyses can promote the recovery of nerve function, reduce the incidence of postoperative complications, have a good prognosis and a definite effect, which can be used as the first choice of treatment. \n \n \nKey words: \nMicrosurgery; Microsurgical clipping; Intravascular interventional emboliization; Posterior communicating aneurysm; Oculomotor paralyses; Nerve function","PeriodicalId":15276,"journal":{"name":"中国医师杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of microsurgical clipping and intravascular interventional embolization on nerve function recovery in patients with posterior communicating aneurysm combined with oculomotor paralyses\",\"authors\":\"Shengwei Zou, Huaizhong Huang, Jun Liu, Jian-hua Xiong\",\"doi\":\"10.3760/CMA.J.ISSN.1008-1372.2020.02.019\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo compare the influences of microsurgical clipping and intravascular interventional embolization on the nerve function recovery in patients with posterior communicating aneurysm combined with oculomotor paralyses. \\n \\n \\nMethods \\nEighty-six patients with posterior communicating artery aneurysm accompanied by oculomotor nerve palsy admitted to Qianjiang Central Hospital of Chongqing from May 2015 to May 2017 were randomly divided into observation group (n=43) and control group (n=43) by random number table method. The control group was treated with microsurgical clipping, while the observation group was treated with intravascular interventional embolization. The therapeutic effect, neurological function recovery, postoperative complications and prognosis of the two groups were compared. \\n \\n \\nResults \\nThe operation time, intraoperative blood loss, postoperative respiratory recovery time and postoperative extubation time of the observation group were significantly less than those of the control group (P<0.05); the complete recovery of the observation group was significantly higher than that of the control group, and no recovery was significantly lower than that of the control group (P<0.05); the incidence of complications in the observation group was significantly lower than that in the control group (P<0.05); the proportion of 5 points in the observation group was significantly higher than that in the control group (P<0.05). \\n \\n \\nConclusions \\nIntravascular interventional embolization in the treatment of posterior communicating aneurysm combined with oculomotor paralyses can promote the recovery of nerve function, reduce the incidence of postoperative complications, have a good prognosis and a definite effect, which can be used as the first choice of treatment. \\n \\n \\nKey words: \\nMicrosurgery; Microsurgical clipping; Intravascular interventional emboliization; Posterior communicating aneurysm; Oculomotor paralyses; Nerve function\",\"PeriodicalId\":15276,\"journal\":{\"name\":\"中国医师杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-02-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中国医师杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1008-1372.2020.02.019\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中国医师杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1008-1372.2020.02.019","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Comparison of microsurgical clipping and intravascular interventional embolization on nerve function recovery in patients with posterior communicating aneurysm combined with oculomotor paralyses
Objective
To compare the influences of microsurgical clipping and intravascular interventional embolization on the nerve function recovery in patients with posterior communicating aneurysm combined with oculomotor paralyses.
Methods
Eighty-six patients with posterior communicating artery aneurysm accompanied by oculomotor nerve palsy admitted to Qianjiang Central Hospital of Chongqing from May 2015 to May 2017 were randomly divided into observation group (n=43) and control group (n=43) by random number table method. The control group was treated with microsurgical clipping, while the observation group was treated with intravascular interventional embolization. The therapeutic effect, neurological function recovery, postoperative complications and prognosis of the two groups were compared.
Results
The operation time, intraoperative blood loss, postoperative respiratory recovery time and postoperative extubation time of the observation group were significantly less than those of the control group (P<0.05); the complete recovery of the observation group was significantly higher than that of the control group, and no recovery was significantly lower than that of the control group (P<0.05); the incidence of complications in the observation group was significantly lower than that in the control group (P<0.05); the proportion of 5 points in the observation group was significantly higher than that in the control group (P<0.05).
Conclusions
Intravascular interventional embolization in the treatment of posterior communicating aneurysm combined with oculomotor paralyses can promote the recovery of nerve function, reduce the incidence of postoperative complications, have a good prognosis and a definite effect, which can be used as the first choice of treatment.
Key words:
Microsurgery; Microsurgical clipping; Intravascular interventional emboliization; Posterior communicating aneurysm; Oculomotor paralyses; Nerve function
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