Objective To compare the prognosis and related factors between intravascular interventional and opera -tion clip closed treatment for intracranial aneurysm .Methods The retrospective analysis of the clinical data of 96 cases of pa-tients with intracranial aneurysm was performed .According to the different method of operation , they were divided into 2 groups , 52 cases in observation group were treated with endovascular intervention , the control group of 44 cases received surgi-cal clipping operation , vascular occlusion rate , ADL score, NIHSS score, and prognostic and good rate , intraoperative and postoperative complications and hospitalization time were compared between the two groups .Results Compared with control group, the observation group’s ADL score, prognostic and good rate were increased ( t =6.204,χ2 =4.453, P <0.05), NIHSS score, vascular occlusion rate were decreased ( t =6.297,χ2 =17.480, P <0.05), bleeding and postoperative dis-turbance of consciousness , limb movement disorder , postoperative hydrocephalus , postoperative aneurysm re-bleeding compli-cation rate and hospitalization time were decreased/reduce( P <0.05).Conclusion The clinical effect and prognosis of endo-vascular treatment of intracranial aneurysms are good with low complications and high security ,is worthy of further promotion .%目的：比较血管内介入和手术夹闭治疗颅内动脉瘤患者的预后及相关影响因素。方法回顾性分析颅内动脉瘤患者96例临床资料，根据手术方法不同将其分为2组，观察组52例进行血管内介入的治疗，对照组44例进行手术夹闭治疗，分析对比2组血管完全闭塞率、ADL评分、NIHSS评分、预后良好率、术中和术后并发症及住院时间。结果与对照组比较，观察组ADL评分、预后良好率增高（ t ＝6�．204，χ2＝4．453， P均＜0．05），NIHSS评分、血管完全闭塞率均降低（ t ＝6．297，χ2＝17．480， P均＜0．05），且术中出血和术后意识障碍、肢体活动障碍、脑积水、动脉瘤再出血等并发症发生率及住院时间均降低/减少（ P ＜0．05）。结论血管内介入治疗颅内动脉瘤患者临床疗效、预后效果良好，发生并发症几率低，安全性高，值得临床进一步推广。
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