摘要
目的探讨显微外科手术治疗急性期颅内动脉瘤的临床疗效。方法选择我院2010年7月至2013年7月收治的88例颅内动脉瘤患者为研究对象,88例患者均在显微直视下手术治疗,采用格拉斯哥量表(GOS)评价预后,观察随访期间死亡情况及术后并发症发生情况。结果所有患者均获得手术成功,手术时间(60.5±20.3)min,术中出血量(45.2±21.5)mL;术后12个月日常生活能力GOS评分预后良好42例,预后不良46例,预后良好率47.7%,显著高于术后3个月、6个月,差异有统计学意义(P<0.05);本组88例患者,死亡4例,死亡率4.5%。结论采用显微手术治疗颅内动脉瘤,预后良好,死亡率低;并发症给予对症处理后,均显著好转。
Objective To study the clinical effect of microsurgical surgery for the treatment of intracranial aneurysms in the acute phase. Methods 88 patients with intracranial aneurysm who were treated with the microscopic surgery in our hospital were selected as the research object. The prognosis was evaluated by Glasgow scale （GOS） , and the mortality rate during the follow-up period and postoperative complications were observed. Results All the patients received surgery success. The operation time was （60.5 ± 20.3） min, and the intraop- erative blood loss was （45.2±21.5 ） mL. 12 months after operation, according to the GOS score of daily living ability,42 patients were of good prognosis and the other 46 cases were of poor prognosis. The good prognosis rate was 47.7% and it is significantly higher than that of 3 months and 6 months after surgery. The difference was statistically significant （ P 〈 0.05 ）. There were 4 cases died among the 88 patients with a mortality of 4.5%. Conclusion Using microsurgical treatment to treat intracranial aneurysms can receive good prognosis and low mortality rate. Complications were significantly improved after symptomatic treatment.
出处
《局解手术学杂志》
2014年第3期282-284,共3页
Journal of Regional Anatomy and Operative Surgery
