摘要
目的探讨早期显微外科手术治疗颅内动脉瘤破裂的疗效。方法126例颅内动脉瘤破裂患者根据Hunt—Hess分级，Ⅰ级20例、Ⅱ级37例、Ⅲ级42例、Ⅳ级18例、Ⅴ级9例。126例患者第一次手术均在出血后72h内，13例颅内多发动脉瘤患者进行了二次手术，所有患者术后用格拉斯哥评分表（GOS）随访1—3年。结果恢复良好98例；中度病残，但生活自理18例；重度病残，生活不能自理4例；植物生存1例；死亡5例。结论早期显微外科手术是治疗颅内动脉瘤破裂的有效方法，能改善动脉瘤患者的生存质量。
Objective To investigate the therapeutic effect of early microsurgery for ruptured intracranial aneurysms. Methods According to Hunt and Hess classification, 20 cases were in grade Ⅰ,37 cases in grade Ⅱ ,42 cases in grade Ⅲ,18 cases in grade Ⅳ ,and 9 cases in grade Ⅴ respectively. 126 cases underwent firstly microsurgery within 72 h, and 13 cases of multiple intracranial aneurysms underwent secondly microsurgery. All cases were followed up from 1 year to 3 years through Glasgow Outcome Scale after operation. Results Good outcome was achieved in 98 cases, moderate disability in 18 cases, severe disability in 4 cases, persistent vegetative state in 1 case, and 5 patients died after surgery,respectively. Conclusion Early microsurgery is an effective treatment for ruptured intracranial aneurysms and can improve the life quality of patients with ruptured intracranial aneurysms.
出处
《临床外科杂志》
2008年第8期545-547,共3页
Journal of Clinical Surgery
