颅内未破裂动脉瘤43例临床体会

The Clinical Experiences in Treatment of 43 Patients with Unruptured Intracranial Aneurysms

目的探讨颅内未破裂动脉瘤的手术效果.方法收集43例未破裂的颅内动脉瘤的患者,17例未行任何手术治疗者作为对照组,26例行手术治疗者作为病例组.回顾性分析2组患者的临床资料.对患者预后进行统计学处理,计算对照组的破裂率;病例组及其对照组的残疾率、死亡率.结果在调查期内17例对照组的年破裂率为9.5%,病死率为9.5%,且破裂率、病死率可能随时间延长增加;26例病例组病死率为6.90%,残疾率为6.90%.结论对于未破裂的颅内动脉瘤,应早期外科干预.

Objective To investigate the efficacy of operation on unruptured intracranial aneurysms （UIA） . Methods We selected 43 patients with UIA without history of SAH from October 2009 to January 2013 in the Second Affiliated Hospital of Kunming Medical University. The 43 patients were divided into two groups , 17 patients who had not been treated by operation were assigned in control group; while 26 patients who received operation were assigned in case group. The clinical data of the 43 cases were analyzed retrospectively. We followed up 43 patients from March 2003 to May 2013 . The prognosis of patients were statistically analyzed, and the rupture rate in control group, the disability rate and mortality in two groups were calculated. Results The rupture rate and the mortality of the patients were both 9.5% in control group, and the rate increased in the following years, while the mortality of the patients and the disability rate was both 6.90% in case group. Conclusion The patients with UIA without history of SAH should be operated actively once they are diagnosed.