Analysis on Efficacy and Prognostic Factors of Craniotomy at Different Time and Endovascular Therapy for Subarachnoid Hemorrhage Caused by Ruptured Aneurysm
ZENG Guang, HONG Ming, XU Yan, et al
Liaoning Fuxin Mining Group General Hospital Neurosurgery, Liaoning Fuxin 123000, China
Abstract：Objective: To analyze the difference for efficacy and prognosis of craniotomy at different time and endovascular therapy for SAH. methods: The clinical data of 152 patients with subarachnoid hemorrhage caused by ruptured aneurysm were analyzed retrospectively, and were divided into two groups according to Hunt-Hess classification, the low grade group(n=87, Ⅰ~Ⅲ level)and the high grade group(n=65, Ⅳ~Ⅴlevel). The GOS was applied to evaluate the prognosis of patients. The effect of craniotomy in the early process and endovascular intervention of two groups was compared. Results: In the low grade group, the good rate of craniotomy and endovascular intervention in the early process was higher than that of delayed treatment(P<0.05). In the high grade group, the good rate of craniotomy and endovascular intervention of delayed treatment was higher than that of early treatment(P<0.05). The difference for the good rate of craniotomy and endovascular intervention between low grade and high grade was not evident(P>0.05). Conclusion: Operation time is an important factor influencing treatment effect of subarachnoid hemorrhage caused by ruptured aneurysm, but operation method has no correlation with treatment effect. Taking craniotomy and endovascular intervention actively can effectively improve the prognosis.
曾光, 洪明, 徐岩, 杨巨亮. 颅内动脉瘤性蛛网膜下腔出血不同时机开颅手术及血管内治疗的疗效及预后因素分析[J]. 河北医学, 2017, 23(1): 63-64.
ZENG Guang, HONG Ming, XU Yan, et al. Analysis on Efficacy and Prognostic Factors of Craniotomy at Different Time and Endovascular Therapy for Subarachnoid Hemorrhage Caused by Ruptured Aneurysm. HeBei Med, 2017, 23(1): 63-64.
2017, Vol. 23 
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