Efficacy comparison of microsurgery and intravascular interventional therapy for treating intracranial aneurysms
HE Xiaofei1,XU Wenjun2,WANG Rong2,QIAO Zhencai2,XU Zhong2,RONG Xiaoguo2
1.Department of Medicine, Jiangsu Provincial Corps Hospital, Chinese People’s Armed Police Forces, Yangzhou 225003, China; 2.Department of Neurosurgery, Jiangsu Provincial Corps Hospital, Chinese People’s Armed Police Forces, Yangzhou 225003, China
Abstract：Objective To investigate the clinical efficacy of microsurgery and intravascular interventional therapy for treating intracranial aneurysms. Methods The clinical data of 54 patients with intracranial aneurysms by intravascular interventional therapy and 54 such patients by microsurgery treatment were retrospectively analyzed. The clinical curative effect was analyzed according to the classification of Hunt-Hess of hospitalized patients and the GOS scores of patients discharged from hospital, and the complication rates and the average hospitalization time of two methods were compared. Results According to GOS score, patients being in good recovery, mild disability, severe disability, vegetable survival, and death were 41 cases, 6 cases, 4 cases, 2 cases and one case, respectively, in the interventional therapy group, and were 39 cases, 8 cases, 5 cases, one case and one case respectively,in the microsurgery group. Five cases (9.26%) had complications in the interventional therapy group, and 6 cases (11.1%) in the microsurgery group. The average hospitalization time was (8.2?0.9) d and (8.3?1.0) d respectively, in the interventional therapy group and in the microsurgery group. There were no significant differences between the two groups in the rate of good recovery, the GOS scores, the incidence of complications and the average hospitalization time. Conclusions Interventional therapy and microsurgery are the effective treatments for intracranial aneurysms, and there is no significant difference between the two methods. But we should take more effective methods according to different disease condition of patients.
Wajnberg E, Desouza J M, Marchiori E, et al. Single-center experience with the Neuroform stent for endovascular treatment of wide-necked intracranial aneurysms[J]. Surg Neurol,2009,72(6):612-619.
Wajnberg E, Desouza J M, Marchiori E, et al. Single-center experience with the Neuroform stent for endovascular treatment of wide-necked intracranial aneurysms[J]. Surg Neurol,2009,72(6):612-619.
2014, Vol. 25 
