脳神経外科診療の実績作りに脳血管内治療医は貢献しているか?  [in Japanese] Contribution of the Neuro-endovascular Physicians to Improvement in Neurosurgical Operations  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

雑誌掲載版2000年1月〜2011年6月の138ヵ月間に、人口36万人の小都市にある大学附属病院で、血管内治療医在籍時、不在籍時で、脳血管内治療数、脳神経外科手術件数、入院患者数を比較検討した。この期間の総手術数は1871件、脳血管内治療医在籍時916件、不在時955件、脳血管内治療数は脳血管内治療医在籍時145件、不在時41件であった。脳血管内治療医在籍時に脳血管内治療数が多かった。また、この二つの時期で、クリッピング術数に有意差は認めなかった。クリッピングとコイル塞栓術を合わせた脳動脈瘤治療数は脳血管内治療医在籍時時に多かった。同様に脳神経外科の全手術数も両群間に有意差が認められたが、全脳神経外科入院患者数に有意差は認めなかった。脳血管内治療の種類による内訳は、不在時には動脈瘤コイル治療の割合は低いが、腫瘍の塞栓術などオープンサージェリーで補えない治療分野の割合が大きくなっていた。

The last 10 years, neuro-endovascular treatment has been widely accepted and is becoming more popular, both because devices have become more developed and because the treatment is supported by evidence. <br> Our neurosurgical department at Asahikawa Medical University Hospital exists in a city with a population of 360,000. Although the department has had two physicians with Japanese neuro-endovascular board certification for 10 years, both of them were absent for two years (between 2007 and 2009). <br> We divided a recent 10-year period into two periods: when the endovascular physicians were present and when they were not to investigate clinical activities and practical operations such as the number of treatments, surgical time and number of admissions. <br> The total number of operations was 1,871. The period when the neuro-endovascular physicians were there (60 months) had 916 cases, and the other periods (78 months) had 955 cases. The number of cases of neuro-endovascular treatment was 145 and 41, respectively. During the period with the physicians, not only the total number of endovascular treatments, but also the average monthly case volume of all neurosurgical operations increased significantly. The surgical time for cerebral aneurysm and cervical carotid stenosis was significantly shorter with endovascular treatment than open surgery. <br> The existence of neuro-endovascular physicians increases the efficiency of neurosurgical treatment and stimulates department activity.<br>

Journal

  • Surgery for Cerebral Stroke

    Surgery for Cerebral Stroke 40(5), 317-321, 2012-09-30

    The Japanese Society on Surgery for Cerebral Stroke

References:  12

Codes

  • NII Article ID (NAID)
    10030873647
  • NII NACSIS-CAT ID (NCID)
    AN10061756
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    09145508
  • Data Source
    CJP  IR  J-STAGE 
Page Top