高级别颅内破裂动脉瘤的早期显微手术治疗  

Microsurgical treatment of high grade intracranial ruptured aneurysms in early period

作　　者：周新民[1] 冯东侠[1] 徐向东[1] 

机构地区：[1]东南大学医学院附属江阴医院神经外科,江苏江阴214400

出　　处：《中华神经外科疾病研究杂志》2012年第1期8-11,共4页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的评价高级别颅内破裂动脉瘤早期显微手术治疗的疗效。方法回顾分析2002年1月至2009年11月期间25例高级别(Hunt-Hess IV～V级)动脉瘤患者的资料,他们均在发病后48 h内的早期行显微外科手术治疗,以格拉斯哥转归评分量表(GOS)对患者神经功能评分。结果 25例颅内动脉瘤均显微手术夹闭,术后六个月时的GOS评分:恢复良好10例;中度病残但生活自理8例;重度病残且生活不能自理4例,死亡3例。结论对高级别颅内破裂动脉瘤患者的早期手术治疗是可行的,结合及时的气管插管控制呼吸,脑室外引流以及去骨板减压等处理可以帮助改善其预后。Objective To evaluate the microsurgery of high grade ruptured intracranial aneurysms in early period.Methods The data of 25 patients with high grade aneurysms who performed the microsurgery within 48 h onset from January 2002 to November 2009 were retrospectively analyzed.The neurological functions were scoresd according to Glasgow Outcome Scale（GOS）.Results The aneurysms of 25 patients were clipped successfully.GOS 6 months after surgery showed good outcome in 10 cases,mild disability in 8 cases,severe disability in 4 cases and death in 3 cases after surgery.Conclusion It is feasible to perform surgery for high grade aneurysm in early period.Prompt tracheal intubation,external ventricular drainage and decompressive craniectomy are helpful to improve the prognosis.

关 键 词：颅内动脉瘤 显微外科手术 早期 高级别 

分 类 号：R651.1[医药卫生—外科学]