摘要
Abstract
Objective To compare the clinical effect of intracranial aneurysms rupture with the acute and non-acute stage surgical. Methods All 176 cases with ruptured intracranial aneurysms were collected from May 2012 to July 2014 in our hospital, the patients were divided into two groups according to different treatment time, the acute surgery group included 91 cases, surgical treatment time of patients in this group was 0 to 3 days after the onset, the non-acute surgery group included 85 cases, the surgery time of this group was three days after onset. Two groups of patients were given underwent aneurysm surgery. Re-bleeding rates preoperative, intraoperative complete occlusion rate, postopera-tive complications, prognosis of two group were compared. Results (1)The intraoperative re-bleeding rate of the acute surgery group (1.10%) was significantly lower than the non-acute surgery group (9.41%), the intraoperative complete occlusion rate (92.31%) was significantly higher than non-acute surgery group (81.18%), there were significant differ-ence between two groups (P<0.05). (2)The incidence of infarction postoperative of the acute surgery group (13.19%), the incidence of postoperative hydrocephalus (8.79%) were higher than non-acute surgery group (5.88%, 4.71%), but there were no significant difference between two groups (P>0.05).(3)The good prognosis rate of acute surgery group (73.63%) was higher than the non-acute surgery group (69.41%), but there were no significant difference between two groups (P>0.05). Conclusion Acute surgical treatment in patients with ruptured intracranial aneurysms can significantly reduce the rate of re-bleeding before surgery to improve intraoperative complete occlusion rate, patients' morbidity and mortality caused by bleeding are significantly reduced in favor of early rehabilitation of patients.关键词
颅内动脉瘤破裂/急性期/非急性期/手术Key words
Intracranial aneurysm rupture/Acute phase/Non-acute phase/Surgery分类
医药卫生
