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Hunt-HessⅤ级动脉瘤血管内治疗的疗效评估 被引量：2

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摘要 目的总结Hunt-HessⅤ级动脉瘤血管内治疗的经验。方法回顾性分析12例Hunt-HessⅤ级动脉瘤病人的临床资料,均行血管内栓塞治疗,术后行开颅血肿清除加去骨瓣减压术3例,行脑室外引流术5例,行腰大池置管引流4例。结果完全栓塞11例,大部分栓塞1例。术中并发脑血管痉挛3例,载瘤动脉血栓形成1例;术后出现脑积水4例,行脑室-腹腔引流术。随访6～24个月,GOS预后评分:5分(恢复良好)2例,4分(轻度残疾)5例,3分(重度残疾)1例,2分(植物生存)1例,1分(死亡)3例。结论血管内栓塞治疗创伤小,早期行血管内治疗为预防各种并发症提供保障,结合其他治疗方法可显著提高Hunt-HessⅤ级颅内动脉瘤破裂病人的生存率和生存质量。
作者 夏鹰 陈焕雄 曹作为 史克珊 金虎 李钢 陈伟明 陈晓东 林鹏
机构地区 海口市人民医院神经外科
出处 《中国微侵袭神经外科杂志》 CAS 北大核心 2011年第3期124-125,共2页 Chinese Journal of Minimally Invasive Neurosurgery
关键词 颅内动脉瘤 蛛网膜下腔出血 栓塞 治疗性
分类号 R651.12 [医药卫生—外科学]
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参考文献8

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同被引文献26

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  • 5Scott RB, Eccles F, Molyneux AJ, et al. Improved cognitive outcomes with endovascular coiling of ruptured intracranial an- eurysms: neuropsychological outcomes from the International Subarachnoid Aneurysm Trial ( ISAT ) . Stroke, 2010 , 41 (8) : 1743-1747.
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中国微侵袭神经外科杂志
2011年 第3期

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