高分级动脉瘤显微夹闭手术时机对患者预后的影响

doi:10.3969/j.issn.1006-6233.2018.02.011

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Abstract Objective: To investigate the effect of microsurgical clipping time on prognosis of patients with high grade intracranial aneurysms. Methods: The clinical data of 80 patients with Hunt-Hess III ~ IV intracranial aneurysms treated by microclipping in our department of neurosurgery from January 2012 to May 2017 were retrospectively analyzed. According to the onset time of patients with operation time, divided into 40 cases of early (0 ~ 3), 40 cases of late (more than 8) two subgroups. The general data of two groups of surgical patients, factors associated with postoperative outcomes, postoperative complications and the outcome of the two groups after 6 months of operation were observed. Results: In the early group and the late group, the difference was statistically significant (P < 0.05) in the Fisher classification, the delayed ischemic nerve dysfunction and the good outcome. Conclusion: The prognosis of the patients with high grade intracranial aneurysm with early operation is better than that of late operation.

Key words： High grade intracranial aneurysm Operation time Prognosis

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	Articles by authors
	YANG Xinchao
	YU Qibing
	LIU Zhengchen
	et al

Cite this article:

YANG Xinchao,YU Qibing,LIU Zhengchen, et al. The Timing of Operation on the Prognosis of Patients with High Grade Aneurysm Microscopy[J]. HeBei Med, 2018, 24(2): 225-228.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.02.011 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I2/225

[1] 呼铁民,韩凤伟,王维兴,等.颅内动脉瘤破裂致蛛网膜下腔出血预后不良的危险因素研究[J].中国全科医学,2012,14:151~155.
[2] 陆新宇,李巧玉,陆培松.动脉瘤破裂致蛛网膜下腔出血患者死亡原因分析[J].中华神经医学杂志,2012,ll:68~70.
[3] 张更申,吴国彪,范振增,等.颅内破裂动脉瘤手术时机和预后关系[J].脑与神经疾病杂志,2008,16:713~715.
[4] Waehtea D,Kreitschmann-Andermahr I, Gilsbach J M, et al. Early surgery of multiple versus single aneurysms after subarachnoid hemorrhage: an increased for cerebral vasospasm[J].Neurosurg,2013,114:935~941.
[5] Kassel NF,Tomer jc,Jane JA,et al.The International Cooperative Study on the Timing of Aneurysm Surgery.Part 2:Surgical results[J].Neurosurg,2014,73:37~47.
[6] Hart Y'Sneade M,13irks J,et al.Epilepsy after subarachnoid hemorrhage:the frequency of seizures alter clip occlusion Or coil embolization of aruptured cerebral aneurysm:results from the International Subaraehnoid Aneurysm Trial[J].Neurosurg,2013,115:1159~1168.
[7] 马荣耀,朱帅,李柯.颅内动脉瘤破裂栓塞治疗后症状性脑血管痉挛的发生及影响因素分析[J].中华神经医学杂志,2013,10:945~947.
[8] Nieuwkamp DJ,de Gans K,Algra A,et al.Timing of aneurysm surgery in subarachnoid haemorrhage-an observational study in the Netherlands[J].Aeta Neuroehir(Wien)2012,147:815~821.
[9] Ross Nhutchinson PJ,Seely H,et al.Timing of surgery for supratentorial aneurismal subarachnoid haemorrhage:report of a prospective study[J].Neurol Neurosurg Psychiatry,2013,72:480~484.
[10] de Gans K,Nieuwkamp DJ,Rinkel GJ,et al.Timing of aneurysm surgery in subaraehnoid hemorrhage:a sustematic review of the literature[J].Neurosurgery.2012,50:336~340.
[11] 简国庆,涂博,王植海,等.手术时机对动脉瘤性蛛网膜下腔出血患者转归的影响[J].国际脑血管病杂志,2014,22:656~659.
[12] 刘兵,魏伟,张建宁,等.显微手术治疗破裂颅内动脉瘤155例[J].中华显微外科杂志,2010,4:341~342.
[13] Mahaney KB,Todd MM,Bayman EO,et al.Acute postoperative neurological deterioration associated with surgery for ruptured intracranial aneurysm:hacidence,predictors and outcomes[J].Neurosurg,2012,l 16:1267~1278.
[14] 吴群,吴盛,凌晨晗,等.颅内动脉瘤破裂急性期与非急性期手术184例分析[J].中华急诊医学杂志,2012,19:858~861.
[15] 张鸿祺,赵振伟,王志刚,等.颅内高分级动脉瘤性蛛网膜下腔出血外科干预的随访研究[J].中华神经外科杂志,2016,2:136~139.
[16] Lin TK, Hsieh TC, Tsai HC, et al.Factors associated with poor outcome in patients with major intraoperative rupture of intraeranial aneurysm[J].Aeta Neurol Taiwma,2013,22:106~111.