临床神经外科杂志2018，Vol.15Issue(1)：12-16,21,6.DOI:10.3969/j.issn.1672-7770.2018.01.003
影响单发后交通动脉瘤夹闭术疗效的围手术期多因素分析
Perioperative multifactor analysis on effect of single posterior communicating artery aneurysm clipping
摘要
Abstract
Objective To explore the related factors of the effect of post-operative arterial aneurysm(PCoA)and to improve the prognosis of patients.Methods The clinical data of 204 patients who underwent aneurysm clipping were performed by Glasgow outcome scale(GOS)were analyzed retrospectively.Results The patients'gender,age,and the size of the aneurysm, postoperative complications,oculomotor nerve paralysis,intraoperative blood flow blocking time was not the significant factors influencing the prognosis of surgery,and Fisher grading,intraoperative rupture,preoperative Hunt-Hess grading,times of preoperative SAH,cerebral vasospasm(CVS), aneurysm neck width was the independent risk factors affecting prognosis,among them,the preoperative Hunt-Hess classification(P =0.000),number of preoperative SAH(P =0.001), cerebral vasospasm(CVS)(P=0.000)was a strong correlation factors influencing surgical curative effect.Conclusion The preoperative Fisher grading,intraoperative rupture,preoperative Hunt-Hess classification,times of preoperative SAH,cerebral vasospasm(CVS),aneurysm neck width analysis can assess the patient's prognosis.关键词
后交通动脉瘤/动脉瘤夹闭术/预后影响因素Key words
aneurysm of posterior communicating artery/aneurysm clipping/prognostic factors分类
医药卫生引用本文复制引用
于奇丙,栾新平,杨新超,刘正晨,闫宝峰..影响单发后交通动脉瘤夹闭术疗效的围手术期多因素分析[J].临床神经外科杂志,2018,15(1):12-16,21,6.基金项目
新疆维吾尔自治区自然科学基金(2017D01C255) （2017D01C255）
