颅内动脉瘤术后脑积水24例临床分析

Clinical Analysis of Post-operative Hydrocephalus from 24 Cases of Intracranial Aneurysmal

目的:探讨破裂脑动脉瘤夹闭术后发生脑积水的易患因素以及脑室-腹腔分流术后临床效果。方法:采用回顾性分析对破裂脑动脉瘤夹闭术后发生的24例交通性脑积水患者的临床资料进行分析。结果:24例交通性脑积水中:HuntⅢ级和HuntⅣ级患者高达87.5%,而HuntⅡ级仅占12.5%;男女比率为:1∶1.67;脑室-腹腔分流术后效果理想20例(20/22)。结论:①本组交通性脑积水多见于Hunt分级较高的女性患者;②脑室-腹腔分流治疗交通性脑积水效果理想。

Objective:To explore the factors related to the development of hydrocephalus after ruptured intracranial aneurysms treated by clipping and the clinical outcome of ventriculo-peritoneal shunt.Method:The clinical data of post-operative communicating hydrocephalus in 24 intracranial aneurysmal cases were analyzed retrospectively.Results:Patients with Hunt Ⅲ andⅣ grade occupied 87.5% in all communicating hydrocephalus,whereas only 12.5% belonged to HuntⅡgrade.The ratio between male and female was 1:1.67.Twenty cases had favorable outcome from ventriculo-peritoneal shunt(20/22).Conclusions:①Hydrocephalus from ruptured intracranial aneurysms treated by clipping was predisposed to female patients with high Hunt grade;②Surgical outcome from ventriculo-peritoneal shunt for commaniating hydrocephalus after ruptured intracranial aneurysms was moreideal.