摘要
目的探讨球囊临时阻断技术在脑动脉瘤夹闭和脑动静脉畸形切除术中减少出血的有效性和安全性。方法回顾性分析2016年3月至2019年3月苏北人民医院在复合手术室采用球囊临时阻断辅助技术治疗的12例脑动脉瘤、脑动静脉畸形患者(研究组)临床资料,并与同期12例未应用球囊辅助技术治疗患者(对照组)作比较。观察统计两组患者手术时间、住院时间、术中出血、围手术期脑梗死发生率、Glasgow昏迷量表(GCS)评分等指标。术后6个月随访头颅CTA和DSA,评估有无复发。结果研究组患者术中平均出血与对照组相比明显减少(P<0.05),出院前GCS评分与对照组相比明显改善(P<0.05),脑梗死发生率与对照组相比明显降低(P<0.05)。研究组手术时间、住院时间与对照组相比,差异无统计学意义(P>0.05)。术后6个月复查头颅CTA和DSA显示两组患者均无复发。结论球囊临时阻断技术有助于降低脑动脉瘤和脑动静脉畸形复合手术中出血,提高手术成功率,改善预后。
Objective To investigate the effectiveness and safety of preoperative temporary internal carotid balloon occlusion in reducing blood loss during cerebral aneurysm clipping and cerebral arteriovenous malformation resection.Methods The clinical data of 12 patients with cerebral aneurysms or cerebral arteriovenous malformation(study group),who were admitted to the Northern Jiangsu People’s Hospital of China during the period from March 2016 to March 2019 to receive temporary balloon occlusion-assisted cerebral surgery in a hybrid operating room,were retrospectively analyzed.Other 12 patients hospitalized during the same period,in whom balloon occlusion-assisted technique was not adopted,were used as the control group.The operating time,hospitalization days,amount of intraoperative blood loss,incidence of perioperative cerebral infarction,Glasgow coma scale(GCS)score,etc.were calculated and compared between the two groups.Check-up CTA and DSA of head were performed 6 months after surgery to determine if there was any recurrence.Results Compared with the control group,in the study group the average amount of intraoperative blood loss was significantly decreased(P<0.05),the GCS score before discharge was remarkably improved(P<0.05),and the incidence of cerebral infarction was strikingly lower(P<0.05).No statistically significant differences in the operating time and hospitalization days existed between the two groups(P>0.05).Reexamination of head CTA and DSA in 6 months after surgery indicated that no recurrence occurred in both groups.Conclusion Preoperative temporary internal carotid balloon occlusion technique can help reduce the blood loss during hybrid surgery of cerebral aneurysm clipping and cerebral arteriovenous malformation resection and improve surgical success rate as well as patient’s prognosis.(J Intervent Radiol,2020,29:1004-1007)
作者
闫可
何亮
宋炳伟
何佳伟
周新植
申林海
卞家蓉
王晓东
甄勇
YAN Ke;HE Liang;SONG Bingwei;HE Jiawei;ZHOU Xinzhi;SHEN Linhai;BIAN Jiarong;WANG Xiaodong;ZHEN Yong(Department of Neurosurgery,Northern Jiangsu People’s Hospital,Clinical Medical College of Yangzhou University,Yangzhou,Jiangsu Province 225001,China)
出处
《介入放射学杂志》
CSCD
北大核心
2020年第10期1004-1007,共4页
Journal of Interventional Radiology
基金
江苏省扬州市自然科学基金面上项目(YZ2017114、YZ2017121)
扬州市社会发展-临床前沿项目(YZ2017070、YZ2017068)。
关键词
球囊临时阻断技术
脑动脉瘤
脑动静脉畸形
复合手术室
temporary balloon blocking technique
cerebral aneurysm
cerebral arteriovenous malformation
hybrid operating room
作者简介
通信作者:甄勇,E-mail:panyu75@163.com。
