摘要
目的 :对显微外科手术治疗急性期颅内动脉瘤的疗效进行探讨分析。方法 :选取采用显微外科手术治疗的颅内动脉瘤患者50例随访12个月,对手术时间、术中出血量、手术效果及术后并发症情况进行记录分析。结果 :随访12个月,2例死亡,死亡率为4%;所有患者均手术成功,平均手术时间(61.1±17.6)min,平均术中出血量(45.1±16.8)ml。术后6个月预后良好率显著优于术后3个月,术后12个月预后良好率显著优于术后6个月。术后1例患者出现肺部感染,1例患者出现迟发性缺血性障碍。结论 :急性期颅内动脉瘤患者采用显微外科手术法进行治疗,具有预后好、死亡率低、无严重并发症等优点。
Objective： To investigate the effect of microsurgery on intracranial aneurysms at acute stage. Methods： Fifty patients with intracranial aneurysms treated with microsurgery were selected and followed up for 12 months. The operation time, the bleeding volume, the efficacy of operation and postoperative complications were analyzed. Results： After 12 months of follow-up, there were 2 patients died with 4% mortality. All patients were successfully operated and the average operation time was （61.1±17.6） min, and the average intraoperative bleeding volume was （45.1±16.8） ml. The rate of good prognosis was higher at 6 months after operation than 3 months after operation and 12 months after operation than the 6 months after operation. There were one patient occurred postoperative pulmonary infection and another one the delayed ischemic disorder. Conclusion： Microsurgical treatment of intracranial aneurysms at acute stage possesses such advantages as good prognosis, low mortality and no serious complications.
出处
《上海医药》
CAS
2017年第13期40-41,44,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
颅内动脉瘤
急性期
显微外科手术
intracranial aneurysm
acute phase
microscopic surgical treatment
