摘要
目的 本文报告颅内破裂动脉瘤24例的早期显微外科治疗。方法 24例临床Hunt and Hcss分级分别是Ⅰ级5例，Ⅱ级9例，Ⅲ级7例，Ⅳ级2例，Ⅴ级1例，入院后经脑血管造影诊断为前交通动脉瘤12例，颈内－后交通动脉瘤9例，大脑中动脉瘤2例，颈内－脉络膜前动脉瘤1例，24例分别于蛛网膜下腔出血后0～3d内显微直接夹闭术，其中＜ 24h内手术15例，24～48h内手术5例，＜ 72h内手术4例。结果 24例中除1例Ⅴ级病人于术后3d死亡和1例Ⅲ级病人于术后2个月因颅内感染死亡外，余22例均获得优或良疗效，治愈率达90．6％。 结论 早期显微外科治疗颅内破裂动脉瘤，尤其对Hunt Ⅰ～Ⅲ级病人，有利于缩短住院天数，有利于降低保守治疗期间再出血的危险性。
Objective To study the operative results on 24 patients with ruptured intracranial aneurysms operated on 0－3 days after SAH． Method The patients＇ clinical grade accoding to Hunt and Hess classification was assessed at admission: Grade Ⅰ 5 cases Grade Ⅱ 9 cases Grades Ⅲ 7 cases Grades Ⅳ 2 cases and Grades Ⅴ 1 case． Sites of ruptured aneurysms were AcoA ICA and MA． Fifteen patients underwent surgery within 24h post SAH 5 pationts on 24－48h and 4 pationts on ＜ 72h． Result 90．6％ of all pationts had an excellent or good outcome． Conclusion Early surgery for ruptured intracranial aneurysms is beneficial to shortening the days in hospital and reduce risk of rebleeding during the conservative period．
出处
《中国微侵袭神经外科杂志》
CAS
2000年第4期203-205,共3页
Chinese Journal of Minimally Invasive Neurosurgery
