Curative effect analysis of microsurgical clipping and vascular embolization in the treatment of cerebral aneurysms

Abstract

Objective To investigate and analyze the clinical effect of endovascular embolization and microsurgical clipping in the treatment of cerebral aneurysms. Methods 86 cases of cerebral aneurysms treated in our hospital from February 2015 to February 2016 were selected as the study object, and were divided into the reference group and the experimental group according to the chronological order of hospital stay, 43 cases in each group. The reference group was treated with vascular embolization, while the experimental group was treated with microsurgical clipping. Compared clinical total efficiency, clinical indexes of surgery, and postoperative complications of the 2 groups, observed and compared the disability rate, the rupture rate, and the death rate of the 2 groups. Results The total efficiency in the experimental group was higher than that in the reference group (93.02% vs.86.05%), but without statistically significant difference (P>0.05). The operation time and the postoperative recovery time in the experimental group were shorter than those in the reference group, and the intraoperative bleeding volume in the experimental group was significantly lower than that in the reference group, on the whole, clinical indexes of surgery in the experimental group were significantly better than those in the reference group, with statistically significant differences between the two groups (P<0.05). The rate of postoperative complications in the experimental group was significantly lower than that in the reference group (11.63% vs.34.88%), with statistically significant difference between the two groups (P<0.05). The disability rate, the rupture rate, and the death rate in the experimental group were 2.33%, 4.65%, 0.00%, lower than 9.30%, 11.63%, 2.33% in the reference group, there was statistically significant difference in the total incidence (23.26% vs.6.98%, P<0.05). Conclusion Microsurgical clipping has high clinical value in the treatment of cerebral aneurysms, can effectively promote the rehabilitation of patients, reduce the risk of complications, as well as disability and mortality, so it is worthy of promotion. Key words: Cerebral aneurysm; Microsurgical clipping; Vascular embolization; Efficacy analysis