高分级颅内动脉瘤破裂出血行超早期开颅手术治疗可行性研究

High grade ruptured intracranial aneurysm bleeding ultraearly surgical operation treatment feasibility study

目的分析高分级颅内动脉瘤破裂出血行超早期开颅手术治疗可行性。方法将2012年2月~2015年3月期间收治于我院的高分级颅内动脉瘤破裂出血患者52例作为研究对象,根据手术时间分为超早期组（24h内手术）以及早期组（24~72小时内手术）,对治疗效果进行回顾性分析。结果超早期组破裂率低于早期组,再出血发生率以及并发症小于早期组,两组间比较差异具有统计学意义（P〈0.05）。结论针对于高分级颅内动脉瘤破裂出血患者而言,采用超早期开颅手术治疗虽然能够取得一定的治疗效果,但还需要对其进一步的进行研究,探寻更好的治疗方式。

Objective To analyze the feasibility of uhraearly surgical operation treatment of high grade ruptured intracra- nial aneurysm bleeding. Methods The 52 patients with high grade ruptured intracranial aneurysm bleeding were treated in our hospital from February 2012 to March 2015. According to the operation time, the research object is divided into uhraearly group （within 24h operation） and early group （24-72 hours operation） ,the treatment effect were retrospectively analyzed. Results The uhraearly group broken rate is lower than the early group, and the incidence of rebleeding and complications is lower in early group,there is statistical significance differences between the two groups （P 〈 0. 05）. Conclusion The high grade patients with ruptured intracranial aneurysm bleeding, although uhraearly surgical operation treatment can achieve a cer- tain therapeutic effect, but also to further study,it in the search for a better treatment.