颅内破裂动脉瘤手术时机及预后关系的临床研究.pdfVIP

TheC．ClinicalonSandofofthetheIIntracranial 摘 要 目的：探讨颅内破裂动脉瘤手术时机和预后的关系。方法：回顾性分析2010年9月～ 2012年9月我科收治的60例颅内破裂动脉瘤病人的临床资料。60例病人全部行动脉 术时间分为早期手术组30例(蛛网膜下腔出血3d内手术)和晚期手术组30例(蛛网膜 Scale)评分，分析不同手术时机 下腔出血11d后手术)，出院时行GOS(GlasgowOutcome 对预后的影响。结果：通过统计学分析，早期和晚期手术组的HuntHessI--III级的 意义(PO．05)。但再出血率早期手术组低于晚期手术组；早期手术组脑缺血发生率低 于晚期手术组：早期手术组的脑积水发生率较晚期手术组低。结论：HuntHess分 手术均可。 关键词：颅内动脉瘤；手术时机；预后 The of Intracranialandthe Operation TimingRuptured Aneurysm Clinicalonthe of Study RelationshipPrognosis AbStract the betweenthe timeof Objective：Investigate relationship operation ruptured intracranialandtheclinical dataof60casesof aneurysm prognosis．Methods：Clinical with intracranial inour were patients ruptured aneurysm departmentanalyzed from 10 1 toDec．20 allthe60 wereunderarterial retrospectivelySep．20 2，and patients 60 weredivided into3Classes一一一Class aneurysm．The of patients preoperatively Hunt-Hess ofHunt-HessClassof IV-V I-II，Class III，and Hunt．Hess tothe According caseswere inthe time，30 operation arrangedearly operation within3 another30caseswereinthelate Hemorrhageoperation days)and operation group(Subarachnoid after11 the