三维DSA与CTA辅助经翼点入路夹闭破裂前交通动脉瘤的有效性和安全性比较

doi:10.3969/j.issn.1671-7171.2022.10.032

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Abstract 【Objective】 To compare the efficacy and safety of three-dimensional DSA and CTA assisted transpterional approach in clipping ruptured anterior communicating aneurysm. 【Methods】 From January 2018 to January 2021, 96 patients with pre ruptured communicating aneurysm who were admitted to Yan'an People's Hospital and planned to undergo pterional approach clipping surgery were selected, and they were divided into observation group and control group according to different preoperative examination methods, with 48 cases in each group. DSA was performed before operation in the observation group, and CTA was performed before operation in the control group. The operation time, intraoperative blood loss, hospital stay, number of cases of complete clipping of anterior communicating artery aneurysm, and complications of the two groups were compared. 【Results】There was no significant difference in gender, age, Hunt Hess grade and tumor diameter between the two groups (P>0.05). There was no significant difference between the two groups in terms of operation time, intraoperative bleeding and hospital stay (P>0.05). There was no significant difference in the number of complete clipping of anterior communicating aneurysm between the two groups (P>0.05). There was no significant difference in GOS scores between the two groups at discharge (P>0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). 【Conclusion】 The effect of three-dimensional DSA and CTA assisted transpterional approach in clipping the ruptured anterior communicating artery aneurysm is similar, the prognosis of the patients is good, and the incidence of complications will not increase significantly, both are safe and reliable.

Key words： Intracranial Aneurysm/SU Angiography, Digital Subtraction Tomography, X-Ray Computed Microsurgery

Received: 18 May 2022

PACS:

R651.122

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	GAO Yong-kai
	LI Hui-min

Cite this article:

GAO Yong-kai,LI Hui-min. Comparison of the Efficacy and Safety of Three-dimensional DSA and CTA Assisted Transpterional Approach in Clipping Ruptured Anterior Communicating Aneurysm[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(10): 1557-1559.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.10.032 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I10/1557

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