老年未破裂脑动脉瘤的外科治疗：一家机构的经验
Surgical Management of Unruptured Cerebral Aneurysms in the Elderly: An Institution Experience.
作者信息
Cheikh Abderrahmane, Kasinathan Sudhakar, Yasuhiro Yamada, Kawase Tsukasa, Kato Yoko
机构信息
Department of Neurosurgery, Ali Ait Idir Hospital and Medical School of Algiers - Algiers University 1, Algiers, Algeria.
Department of Neurosurgery, Institute of Neurosurgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.
出版信息
Asian J Neurosurg. 2019 Jul-Sep;14(3):730-736. doi: 10.4103/ajns.AJNS_233_18.
BACKGROUND AND PURPOSE
The elderly population is increasing in the world, especially in developed countries. The gain in life expectancy is remarkable in Japan, consequently incidence of aneurysms increases in this population. The purpose of this study is to evaluate the surgical treatment and outcome of patients aged more than 75 years treated for unruptured intracranial aneurysms.
PATIENTS AND METHODS
We conducted a retrospective study for unruptured cerebral aneurysms operated between September 2014 and August 31, 2018, in Fujita Health University, Banbuntane Hotokukai Hospital, for people aged more than 75 years. A demographic study was done. We also studied aneurysm location, aneurysm size, outcome, duration of stay, and complications.
RESULTS
About 61 patients aged more than 75 years were operated in 4 years, comprising 12 males and 45 females. The mean age was 79.32 ± 3.29 years. Mean size of the aneurysm was 6.22 ± 3.28. Aneurysm location ( = 0.0037), associated risk factors ( = 0.006), and association of hypertension and diabetes ( = 0.0362) influence outcome. Length of stay is directly correlated with outcome ( = 0.009).
CONCLUSIONS
Elder patients with hypertension and diabetes or associated risk factors having a posterior circulation aneurysm have a poor diagnosis.
背景与目的
全球老年人口正在增加，尤其是在发达国家。日本的预期寿命增长显著，因此该人群中动脉瘤的发病率也有所上升。本研究的目的是评估75岁以上未破裂颅内动脉瘤患者的手术治疗及预后情况。
患者与方法
我们对2014年9月至2018年8月31日期间在藤田保健大学阪本富岳会医院接受手术的75岁以上未破裂脑动脉瘤患者进行了一项回顾性研究。进行了人口统计学研究。我们还研究了动脉瘤位置、动脉瘤大小、预后、住院时间和并发症。
结果
4年间约有61名75岁以上患者接受了手术，其中男性12名，女性45名。平均年龄为79.32±3.29岁。动脉瘤平均大小为6.22±3.28。动脉瘤位置（P = 0.0037）、相关危险因素（P = 0.006）以及高血压与糖尿病的关联（P = 0.0362）会影响预后。住院时间与预后直接相关（P = 0.009）。
结论
患有高血压和糖尿病或有相关危险因素且患有后循环动脉瘤的老年患者预后较差。
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