重型破裂脑动脉瘤的手术治疗  

Surgery of Hunt-Hess high graded ruptured intracranial aneurysm

作　　者：杨立庄[1] 杨海城[1] 马东营[1] 陶海泉[1] 于文元[1] 

机构地区：[1]哈尔滨医科大学附属第二医院神经外科,150086

出　　处：《中华神经外科杂志》2008年第11期848-850,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨重型破裂脑动脉瘤的急性期手术疗效。方法在急性期首先通过去骨瓣减压、血肿清除、脑室外引流等手术减轻病情后，进一步对动脉瘤进行手术。结果Hunt—Hess分级Ⅳ级50例，26例优，13例良，8例差，3例死亡。Ⅴ级者8例，2例优，1例良，2例差，3例死亡。结论重型破裂脑动脉瘤急性期应首选手术治疗，可取得满意的疗效。Objective To discuss the clinical therapeutic effect and value of emergent surgery for intracranial Hunt-Hess grade Ⅳ and Ⅴ aneurysms. Method First we improved patient＇s condition through decompressive craniotomy, evacuation of hematoma and external ventricular drainage, and then we performed aneurysm surgery. Results A retrospective analysis of 58 patients with intraeranial aneurysms were treated with emergent surgery. There were 50 cases of Hunt-Hess grade Ⅳ ,in witch 26 cases had a good outcome, 13 cases had a mild disability, 8 cases had a severe disability and 3 cases died. There were 8 cases of Hunt-Hess grade Ⅴ, in witch 2 cases had a good outcome, 1 case had a mild disability, 2 cases had a severe disability and 3 cases died. Conclusions Emergent surgery is a first choice for hunt-Hess grade Ⅳ and Ⅴ aneurysms and the results were satisfactory.

关 键 词：颅内动脉瘤 显微外科手术 临床分析 治疗方法 

分 类 号：R686[医药卫生—骨科学]