Gu Yu-xiang, Mao Ying, Song Dong-lei, Zhou Liang-fu, Zhu Wei
Department of Neurosurgery, Affiliated Huashan Hospital, Fudan University, Shanghai 200040, China.
Zhonghua Wai Ke Za Zhi. 2006 Mar 15;44(6):412-5.
To evaluate clinical strategy and effect of early-mid-phase microsurgery for ruptured cerebral anterior circulating aneurysm.
Seventy-five patients presenting with anterior circulating aneurysmal subarachnoid hemorrhage (SAH) underwent early-mid-phase (within 3 days or 3-10 days) microsurgical clipping at Huashan Hospital between January 2001 and August 2004. Glasgow outcome scale (GOS) was conducted to evaluate patients' outcomes.
Of 81 intracranial aneurysms, 77 lesions were clipped successfully, and 4 were wrapped. Good outcome was achieved in 53 cases, mild disability in 9 cases, severe disability in 7 cases, persistent vegetative state in 3 cases, and 3 patients (4%) died after surgery. The difference of GOS was statistically significant between patients in Hunt and Hess Grade I-III and Grade IV-V. However, there was no significant difference between early surgery and metaphase surgery.
Early-mid-phase microsurgery for ruptured cerebral anterior circulating aneurysm is considered the feasible opinion.
评估大脑前循环动脉瘤破裂早期-中期显微手术的临床策略及效果。
2001年1月至2004年8月间，75例出现前循环动脉瘤性蛛网膜下腔出血（SAH）的患者在华山医院接受了早期-中期（3天内或3-10天）显微手术夹闭。采用格拉斯哥预后量表（GOS）评估患者的预后。
81个颅内动脉瘤中，77个病变成功夹闭，4个进行了包裹。53例预后良好，9例轻度残疾，7例重度残疾，3例持续植物状态，3例患者（4%）术后死亡。Hunt和Hess分级I-III级与IV-V级患者的GOS差异有统计学意义。然而，早期手术和中期手术之间无显著差异。
大脑前循环动脉瘤破裂早期-中期显微手术是可行的方案。
