Clinical effects of microsurgical clipping and vascular embolization on patients with cerebral aneurysms

Abstract

Objective To compare the clinical effects of microsurgical clipping and endovascular embolization on cerebral aneurysms. Methods Sixty patients with cerebral aneurysm were selected as the research objects. According to the random number table method and treatment methods, the patients were divided into study group and control group, with 30 cases in each group. The study group underwent microsurgery clipping treatment, and the control group underwent endovascular embolization treatment. The clinical efficacy, length of stay, postoperative VAS pain score, mRS prognosis score and complication rate were compared between the two groups. Results The total effective rate of clinical treatment in the study group (90.00%) was significantly higher than that of the control group (66.67%), the difference was significant (χ2=4.812, P 0.05). The incidence of postoperative complications in the study group (13.33%) was lower than that of the control group (36.67%), and the difference was significant (χ2=4.356, P<0.05). Conclusions Compared with vascular embolization, the total effective rate of the microsurgical clipping is higher and has less complications, but the postoperative pain is higher, the hospitalization time is longer, and the long-term prognosis is same as vascular embolization. The clinical treatment should be comprehensively considered according to the condition of the aneurysm, so as to select a suitable effective treatment mode. Key words: Cerebral aneurysm; Microsurgical clipping; Vascular embolization; Clinical effect