早期手术夹闭破裂颅内动脉瘤的临床分析(附36例报告)

The clinical analysis of early clamping intracranial aneurysm microsurgery(36 case report).

目的探讨破裂颅内动脉瘤的临床特点及发病早期手术夹闭的治疗效果。方法回顾性分析36例诊断明确的破裂颅内动脉瘤患者,均在起病早期显微手术夹闭,临床随访半年以上,总结颅内动脉瘤出血的临床特点,探讨早期手术治疗效果。结果本组36例患者38个动脉瘤,均在起病早期采取显微手术夹闭,有3例死亡(8%),重残5例(14%),轻残5例(14%),恢复良好23例(64%),随访半年以上,未见动脉瘤再次破裂出血。结论对诊断明确的颅内动脉瘤及早手术干预,能减少再出血,降低死残率。

Objective To investigate the clinical characteristics of ruptured intraeranial aneurysms and the therapeutic results of early clamping mierosurgery. Methods Thirty - six patients with eonfirmative ruptured intraeranial aneurysms were analyzed retrospectively. All the patients were treated with early clamping microsurgery and followed up for more than 6 months. The clinical characteristics of ruptured intracranial aneurysms and the results of early treatment were analysed. Results Of 36 patients, 3 patients died（8% ）, 5 patients were severely disabled（ 14% ）, 5 patients mildly disabiled（ 14% ）, 23 patients recovered（64% ）, Follow - up observations found no recurrence of aneurysms rupture in all the patients. Conclusion Once the diagnosis was confirmed, patients should be operated as early as possible, Clamping mierosurgery can decrease blooding risk, disablity likelihood and mortality.