[1]曹金昌,赵斌,罗清泉,等.颅内破裂动脉瘤急性期的外科治疗[J].中国临床神经外科杂志,2024,29(05):283-285.[doi:10.13798/j.issn.1009-153X.2024.05.009]
 CAO Jing-chang,ZHAO-Bin,LUO Qing-quan,et al.Surgical treatment of ruptured intracranial aneurysms in acute stage[J].,2024,29(05):283-285.[doi:10.13798/j.issn.1009-153X.2024.05.009]
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颅内破裂动脉瘤急性期的外科治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年05期
页码:
283-285
栏目:
论著
出版日期:
2024-05-30

文章信息/Info

Title:
Surgical treatment of ruptured intracranial aneurysms in acute stage
文章编号:
1009-153X(2024)05-0283-03
作者:
曹金昌赵斌罗清泉甘立新
629100四川遂宁,蓬溪县人民医院神经外科(曹金昌、赵斌、罗清泉、甘立新)
Author(s):
CAO Jing-chang ZHAO-Bin LUO Qing-quan GAN Li-xin
Department of Neurosurgery, Pengxi County People's Hospital, Suining 629100, China
关键词:
颅内破裂动脉瘤显微手术介入栓塞术急性期个体化治疗疗效
Keywords:
Ruptured intracranial aneurysm Microsurgery Endovascular embolization Acute stage
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2024.05.009
文献标志码:
A
摘要:
目的 探讨颅内破裂动脉瘤急性期的外科治疗方法及其疗效。方法 回顾性分析2017年12月至2022年1月外科治疗的38例颅内破裂动脉瘤的临床资料。结果 38例均在出血72 h内手术,其中31例采用显微夹闭术,7例介入栓塞治疗。随访3~48个月,改良Rankin量表评分0分19例,1分6例,2分5例,4分1例,5分1例,6分6例;预后良好率为78.95%(30/38)。结论 对于颅内破裂动脉瘤,根据CT影像显示的出血量、Hunt-Hess分级,结合动脉瘤位置、大小、形态特点,以及病人年龄与基础情况进行综合评估,急性期内选择个体化治疗方案,可以取得较好的疗效。
Abstract:
Objective To investigate the surgical treatment of ruptured intracranial aneurysms in acute stage and its clinical efficacy. Methods The clinical data of 38 patients with ruptured intracranial aneurysms who received surgical treatment from December 2017 to January 2022 were retrospectively analyzed. Results All 38 patients underwent operation within 72 h after hemorrhage. Of these 38 patients, 31 patients were treated with microsurgical clipping and 7 patients with interventional embolization. After 3~48 months of follow-up, a modified Rankin scale (mRS) score of 0 was achieved in 19 patients, a mRS score of 1 in 6 patients, a mRS score of 2 in 5 patients, a mRS score of 4 in 1 patient, a mRS score of 5 in 1 patient, and a mRS score of 6 in 6 patients. The rate of good prognosis was 78.95% (30/38). Conclusions For patients with ruptured intracranial aneurysms, a good outcome can be achieved by individualized treatment in the acute stage according to the amount of blood loss shown by CT images, Hunt-Hess grade, aneurysm location, aneurysm size, morphological characteristics of aneurysms, and patients' age and basic conditions.

参考文献/References:

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备注/Memo

备注/Memo:
(2022-04-06收稿,2024-01-04修回)
更新日期/Last Update: 2024-05-30