早期显微手术治疗颅内多发动脉瘤

Effect of early microsurgery on multiple intracranial aneurysms

目的探讨早期显微手术治疗颅内多发动脉瘤的疗效。方法选择多发动脉瘤患者36例,第1次手术均在出血后72 h内完成,根据Hunt-Hess分级,I级10例,Ⅱ级14例,Ⅲ级9例,Ⅳ级1例,V级2例。出院后随访6个月-3年,应用格拉斯哥预后评分评价患者神经功能。结果 36例患者中,有74个动脉瘤,显微手术夹闭70个,包裹4个。22例患者恢复良好;6例患者中度病残,但生活自理;3例患者重度病残,生活不能自理;死亡5例。结论早期显微手术是治疗颅内多发动脉瘤的有效方法,能提高动脉瘤患者的生存率和生存质量。

Objective To study the effect of early microsurgery on multiple intracranial aneurysms.Methods Thirty-six patients with multiple intracranial aneurysms who received their first operation within 72 hours after hemorrhage were divided into grade I group（n= 10）,grade Ⅱ group（n=14）,grade Ⅲ group（n = 9）,grade Ⅳgroup（n=l）？and grade V group（n = 2） according to Hunt-Hess classification.Their neurological function was assessed according to the Glasgow Outcome Scale after they were followed up for 6 months-3 years.Results Of the 74 intracranial aneurysms detected in the 36 patients,70 were clipped in microsurgery and 4 were encapsulated.Of the36 patients with multiple intracranial aneurysms,22 recovered well,6 were moderately disabled with an independent daily life,3 were severely disabled with a dependent daily life,and 5 died.Conclusion Early microsurgery is an effective procedure for multiple intracranial aneurysms and can improve the survival rate and quality of life of patients with multiple intracranial aneurysms.