126例颅内动脉瘤破裂的早期显微外科治疗  

Early microsurgery for 126 ruptured intracranial aneurysms

作　　者：王业忠[1] 刘祺[2] 赵冬[2] 姬云翔[2] 雷霆[1] 陈劲草[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院神经外科,武汉430030 [2]石河子大学医学院第一附属医院神经外科

出　　处：《临床外科杂志》2008年第8期545-547,共3页Journal of Clinical Surgery

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.

关 键 词：早期显微手术 颅内动脉瘤 蛛网膜下腔出血 

分 类 号：R651.12[医药卫生—外科学]