中国实用神经疾病杂志2024，Vol.27Issue(7)：849-852,4.DOI:10.12083/SYSJ.231103
颅内动脉瘤破裂患者显微动脉瘤夹闭手术时机对疗效及预后的影响
Effect of the timing of microsurgical clipping on clinical efficacy and prognosis of patients with ruptured intracranial aneurysms
摘要
Abstract
Objective To investigate the effect of the timing of microsurgical clipping on clinical efficacy and prognosis of patients with ruptured intracranial aneurysms(IAs).Methods The clinical data of 96 patients with ruptured IAs who were admitted to the Neijiang First People's Hospital from May 2020 to May 2023 were collected.According to the time from onset to surgery,the patients were divided into ultra early group(49 cases,within 24 hours)and early group(47 cases,24-72 hours).Clinical efficacy,complications and prognosis of the two groups were compared.Results There was no statistically significant difference in the rates of complete clipping and intraoperative re-rupture of IA between the two groups(91.84%vs 85.11%,6.12%vs 4.26%,P>0.05).The incidence of preoperative re-rupture of IA in the ultra early group was lower than that in the early group(0 vs 10.64%,P<0.05).The incidence of complications in the ultra early group was lower than that in the early group(16.33%vs 34.04%,P<0.05).The good prognosis rate in the ultra early group was higher than that in the early group(85.71%vs 68.09%,P<0.05).Conclusion The efficacy of microsurgical clipping within 24 hours after the onset of IA rupture is superior to that at 24-72 hours after onset.Ultra early surgery can reduce the risk of re-rupture of IA before surgery,reduce complications,and improve the prognosis.关键词
颅内动脉瘤/动脉瘤破裂/显微动脉瘤夹闭/手术时机/预后Key words
Intracranial aneurysm/Aneurysm rupture/Microsurgical clipping/Surgical timing/Prognosis分类
医药卫生引用本文复制引用
刘健,刘丛..颅内动脉瘤破裂患者显微动脉瘤夹闭手术时机对疗效及预后的影响[J].中国实用神经疾病杂志,2024,27(7):849-852,4.基金项目
四川省卫生健康委科研课题(编号:17PJ188) （编号:17PJ188）
