颅内破裂动脉瘤早期与晚期手术的比较。

Comparison of late and early stage surgery for ruptured intracranial aneurysms.

作者信息

Yamamoto K, Ezuka I, Takai N, Kakinuma K

机构信息

Department of Neurosurgery, Nagaoka Red Cross Hospital, Niigata, Japan.

出版信息

Neurol Med Chir (Tokyo). 1992 Jan;32(1):1-4. doi: 10.2176/nmc.32.1.

DOI:10.2176/nmc.32.1

PMID:1375977

Abstract

Surgical indications and timing in serious cases (Hunt and Hess grades 4 and 5) of intracranial aneurysms were investigated. The outcomes in early surgery were compared to the clinical courses of cases intended for late surgery. The survival rate of early surgery patients was 64.4%, better than the total of improved (28.3%) and survived (6.5%) patients for late surgery. There were 28.8% good outcomes in the early surgery group, compared to 2.2% in those treated late. Both of these figures are statistically significant. We consider that early surgery is indicated for serious cases, but not for grade 5 patients with hematoma.

摘要

研究了颅内动脉瘤严重病例（Hunt和Hess分级4级和5级）的手术指征和时机。将早期手术的结果与计划晚期手术病例的临床病程进行了比较。早期手术患者的生存率为64.4%，优于晚期手术患者中病情改善（28.3%）和存活（6.5%）患者的总和。早期手术组有28.8%的良好预后，而晚期治疗组为2.2%。这两个数字均具有统计学意义。我们认为，严重病例适合早期手术，但有血肿的5级患者不适合。