Fujiwara S, Fujii K, Nishio S, Fukui M
Department of Neurosurgery, Faculty of Medicine, Kyushu University, Japan.
Acta Neurochir (Wien). 1990;103(1-2):27-9. doi: 10.1007/BF01420188.
We report the long term result of the treatment of 29 intracranial ruptured aneurysms by wrapping with or without coating. These patients were followed for a mean period of 11 years. The outcome of all patients was as follows; 19 were categorized as good, 2 were severely disabled, on the Glasgow Outcome Scale (GOS), and 8 died. The rebleeding occurred in 5 patients within 3 years after surgery, and all died. There was an overall rate of 17% of rebleeding in our series, which is much higher than the rebleeding rate after aneurysm treatment by clipping of the neck but lower than the usual rebleeding rate in conservatively treated cases. In conclusion, the wrapping as a choice of treatment of ruptured aneurysms is not a safe alternative to the direct operative occlusion of the aneurysmal sack.
我们报告了29例颅内破裂动脉瘤采用包裹术（有或无涂层）治疗的长期结果。这些患者平均随访了11年。所有患者的结果如下：根据格拉斯哥预后量表（GOS），19例为良好，2例严重残疾，8例死亡。5例患者在术后3年内发生再出血，均死亡。我们系列中的再出血总发生率为17%，这远高于夹闭动脉瘤颈部治疗后的再出血率，但低于保守治疗病例的通常再出血率。总之，作为破裂动脉瘤治疗选择的包裹术并非直接手术闭塞动脉瘤囊的安全替代方法。
