摘要
目的:探讨颅内动脉瘤破裂出血患者早期显微夹闭术的手术时机。方法:选取从2016年12月—2020年1月漯河中心医院神经外科收治的55例颅内动脉瘤破裂患者,由电脑随机分配成对照组(出血后24~72 h接受手术治疗)和观察组(出血后24 h内接受手术治疗),对照组患者27例,观察组患者28例,记录两组术前、术中动脉瘤再次破裂次数和手术完全夹闭情况,根据恢复情况分为基本治愈、良好、轻残、重残和死亡5个等级,比较两组术后疗效。结果:术前再次破裂率观察组低于对照组(P<0.05);术中再次破裂率及手术安全夹闭率两组差异无统计学意义(P>0.05);术后并发症发生率观察组低于对照组(P<0.05);显效率观察组高于对照组(P<0.05)。结论:颅内动脉瘤破裂出血患者早期显微夹闭术手术时机越早越好。
Objective:To explore the operation timing of early microclamping in patients with ruptured intracranial aneurysm.Methods:Fifty-five patients with ruptured intracranial aneurysms admitted to the department from December 2016 to January 2020 were randomly assigned by computer to control group(surgical treatment 24 to 72 hours after bleeding)and observation group(bleeding surgical treatment within 24 hours).A total of twenty-seven cases were included in the control group and twenty-eight cases were included in the observation group.The preoperative and intraoperative aneurysm re-rupture times and the complete clipping of the two groups were recorded.According to the recovery condition,they were divided into five levels:basic cure,good,mild disability,severe disability,and death.The postoperative curative effects of the two groups were compared.Results:The preoperative rerupture rate of the observation group was lower than that of the control group(P<0.05),the difference was statistically significant.There was no statistically significant difference between the two groups in intraoperative rerupture rate and surgical safety clamping rate(P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The apparent rate of the observation group was higher than that of the control group(P<0.05).Conclusion:The earlier the timing of microclamp surgery in patients with ruptured intracranial aneurysm,the better is the efficiency.
作者
娄志刚
袁波
谭占国
李维
许丙洋
LOU Zhi-gang;YUAN Bo;TAN Zhan-guo(Department of Neurosurgery,Luohe Central Hospital,Luohe,Henan,462000,China)
出处
《黑龙江医学》
2021年第11期1131-1132,共2页
Heilongjiang Medical Journal
关键词
颅内动脉瘤
显微夹闭术
再次破裂率
手术时机
Intracranial aneurysm
Microclamping operation
Rerupture rate
Operation timing
