影响老年颅内动脉瘤患者手术预后的因素

Factors affecting the prognosis of intracranial aneurysm operation for elderly patients

目的探讨影响老年颅内动脉瘤患者手术预后的因素。方法回顾性分析30例手术治疗的老年颅内动脉瘤患者的临床资料。对可能的影响因素和手术结果进行单因素和多因素分析。结果将患者按年龄（以70岁为界）、Hunt—Hess分级、动脉瘤部位（分为前循环和后循环）、动脉瘤大小（以直径1．5cm为界）、是否合并高血压、手术时机（以72h为界）分组后经单因素和多因素分析发现，患者Hunt-Hess分级、动脉瘤部位、手术时机与预后相关（P值分别为0．007、0．019、0．007），年龄、高血压、动脉瘤大小与预后无关（P值分别为0．502、0．697、0．500）。结论老年颅内动脉瘤患者的手术预后受多种因素影响，年龄不是颅内动脉瘤手术的禁忌证，宜早期手术。

Objective To study the factors affecting the prognosis of intracranial aneurysm operation for elderly patients. Methods Thirty elderly patients （ ≥60 years old ） with intracranial aneurysm who were treated surgically were evaluated retrospectively. The factors that might affect tile result of operation were analyzed by single-factor and multi-factor. Result The factors that had significant correlation with the prognosis were Hunt-Hess grade,location of aneurysm,surgical timing （P =0.007,0.019,0.007）. Conclusion The prognosis of intracranial aneurysm operation for elderly patients is affected by many factors, age is not a contraindication to aneurysm operation, early aneurysm operation treatment is suggested for elderly patients.