Combined microscopic and neuroendoscopic treatment effects on psychological and cognitive outcomes in ruptured intracranial aneurysms  

作　　者：Li-Ke Shi Xian-Feng Cai Jian-Qing He Yu-Hai Wang 

机构地区：[1]Department of Neurosurgery,Wuxi Clinical College of Anhui Medical University,Wuxi 214000,Jiangsu Province,China [2]Department of Neurosurgery,Anhui Medical University Fifth Clinical Medical College,Hefei 230031,Anhui Province,China [3]Department of Neurosurgery,The 904th Hospital of Joint Logistic Support Force of PLA,Wuxi 214101,Jiangsu Province,China

出　　处：《World Journal of Psychiatry》2025年第3期280-287,共8页世界精神病学杂志(英文)

摘　　要：Intracranial aneurysms,characterized by focal arterial wall dilation,pose significant neurosurgical challenges due to their potential for rupture and hemorrhage,leading to severe clinical outcomes,including fatality.Patients often experience profound psychological and social impacts,such as depression,anxiety,and cognitive impairment,affecting their quality of life.Rapid progression and high mortality necessitate timely intervention.Advances in neurosurgical techniques,including microscopic surgery and neuroendoscopy,offer distinct advantages.Microscopic surgery provides precision and direct visualization,while neuroendoscopy ensures minimally invasive access and reduced tissue trauma.Integrating these methods optimizes treatment efficacy and clinical outcomes.AIM To evaluate the impact of combined microscopic and neuroendoscopic techniques on psychological,cognitive outcomes,and quality of life in patients with ruptured intracranial aneurysms.METHODS The study focused on 189 patients with intracranial aneurysm rupture and hemorrhage from January 2020 to May 2024 as the objects of observation and analysis.They were randomly divided into a control group(treated with simple microscope surgery,n=94)and an observation group(treated with microscope combined with neuroendoscopy,n=95).The treatment effects of the two groups were observed,mainly including depression and anxiety scale scores,cognitive function assessment results and quality of life assessment data.RESULTS Before treatment,the depression and anxiety scale scores,cognitive function assessment results and quality of life assessment data of the two groups of patients at different time points were compared,and there was no statistically significant difference(P>0.05).After microscope combined with neuroendoscopy treatment,the study revealed that the observation group surpassed the control group in alleviating depression and anxiety,accelerating cognitive function recovery,and enhancing quality of life,with these differences being statistically significant(P<0.

关 键 词：MICROSCOPE NEUROENDOSCOPY Intracranial aneurysm Depression and anxiety Cognitive function Quality of life 

分 类 号：R73[医药卫生—肿瘤]