Sajid Talha, Kiran Arooj, Khalid Ismaeel, Khan Zubair, Majid Abdul
Dr. Talha Sajid, MBBS, Resident Neurosurgery, Department of Neurosurgery, Punjab Institute of Neurosciences, Lahore, Pakistan.
Dr. Arooj Kiran, MBBS, Resident Neurosurgery, Department of Neurosurgery, Punjab Institute of Neurosciences, Lahore, Pakistan.
Pak J Med Sci. 2024 Dec;40(12PINS Suppl):S32-S36. doi: 10.12669/pjms.40.12(PINS).11119.
To observe the outcome of surgical clipping in anterior circulation aneurysm in a modestly resourced hospital.
A retrospective cross-sectional study was conducted at Punjab Institute of Neurosciences Lahore, from August 2022 to July 2023. Seventy five patients meeting the inclusion criteria of age <65, saccular aneurysm of anterior circulation, and Hunt and Hess grade one or two were enrolled through non-probability convenience sampling. Data were collected from patient records, and surgeries were performed by experienced neurosurgeons using pterional and sub-frontal approaches. SPSS version 26 was utilized for data analysis.
Mean age 49.3733 ± 2.56 (Mean ± SD) years, 60% female. Most common aneurysm location: anterior communicating artery (37.33%). Post-operative complications: vasospasm (17.33%), hydrocephalus (6.66%), fits (5.33%), mortality (2.66%). About 91% patients had no complications or recovered within three months.
Surgical clipping of anterior circulation aneurysms is a safe and effective treatment, yielding favorable angiographic outcomes. Despite occasional complications, most patients achieved satisfactory results, especially in a setting having limited endovascular facilities or when coiling is not feasible. Future comparative studies with endovascular methods will further refine patient selection and surgical techniques.
观察在资源适度的医院中，前循环动脉瘤手术夹闭的效果。
2022年8月至2023年7月在拉合尔旁遮普神经科学研究所进行了一项回顾性横断面研究。通过非概率便利抽样纳入了75例符合年龄<65岁、前循环囊状动脉瘤且Hunt和Hess分级为一或二级纳入标准的患者。从患者记录中收集数据，手术由经验丰富的神经外科医生采用翼点入路和额下入路进行。使用SPSS 26版进行数据分析。
平均年龄49.3733 ± 2.56（均值±标准差）岁，女性占60%。最常见的动脉瘤位置：前交通动脉（37.33%）。术后并发症：血管痉挛（17.33%）、脑积水（6.66%）、癫痫发作（5.33%）、死亡率（2.66%）。约91%的患者无并发症或在三个月内康复。
前循环动脉瘤的手术夹闭是一种安全有效的治疗方法，可产生良好的血管造影结果。尽管偶尔会出现并发症，但大多数患者取得了满意的结果，尤其是在血管内治疗设备有限或无法进行血管内栓塞的情况下。未来与血管内治疗方法的比较研究将进一步优化患者选择和手术技术。
