实用临床医药杂志2018，Vol.22Issue(3)：16-18,22,4.DOI:10.7619/jcmp.201803004
血肿型前循环破裂动脉瘤的急诊显微手术效果评价
Effect evaluation of emergency microsurgery in treatment of patients with hematoma-type anterior circulation ruptured aneurysm
吴臣义 1孙彦军 1邹飞辉 1刘芳 1杨劲松 1王明海 1刘科峰 1王有刚1
作者信息
- 1. 南京医科大学附属常州市第二人民医院神经外科,江苏常州,213004
- 折叠
摘要
Abstract
Objective To evaluate the effect of emergent microsurgery in treatment of patients with hematoma-type anterior circulation ruptured aneurysm.Methods The clinical data and therapeutic effect of emergency microsurgery for 32 patients with hematoma-type anterior circulation ruptured aneurysm were analyzed retrospectively.Results Finally 32 patients underwent emergency craniotomy clipping and hematoma removal in 24 h.Among them,15 cases underwent decompressive craniectomy.One week after the operation,CTA revealed that all aneurysms were completely clipped.One patient with communicating hydrocephalus were treated with ventriculoperitoneal shunt,and 6 patients had different degrees of cerebral infarction.After 6 months of follow-up,the Glasgow outcome scale (GOS) showed that there were 5 cases of grade 5 (15.6％),12 cases of grade 4 (37.5 ％),12 cases of grade 3 (37.5％),2 cases of grade 2 (6.3％) and 1 case of grade 1 (6.3％).The prognosis satisfaction rate was 53.1％ (17/32).Conclusion Emergent microsurgery is effective in the treatment of patients with hematoma-type anterior circulation ruptured aneurysm.关键词
前循环动脉瘤/颅内血肿/显微外科手术/颅动脉瘤Key words
anterior circulation aneurysm/intracranial hematoma/microsurgery/cranial aneurysm分类
医药卫生引用本文复制引用
吴臣义,孙彦军,邹飞辉,刘芳,杨劲松,王明海,刘科峰,王有刚..血肿型前循环破裂动脉瘤的急诊显微手术效果评价[J].实用临床医药杂志,2018,22(3):16-18,22,4.
