Relationship between position of intraoperative aneurysm rupture and prognosis in patients with anterior circulation aneurysms
10.7619/jcmp.201803003
- VernacularTitle:前循环动脉瘤患者动脉瘤破裂部位与预后的关系
- Author:
Chunlin XU
1
;
Yu SHEN
;
Junxian HU
;
Xiaozhi CHENG
Author Information
1. 湖北省黄冈市中心医院神经外科
- Keywords:
anterior circulation aneurysms;
craniotomy clipping;
intraoperative aneurysm rupture;
prognosis
- From:
Journal of Clinical Medicine in Practice
2018;22(3):12-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the relationship between tumor top,tumor neck,tumor rupture point of intraoperative aneurysm rupture (IAR) and the prognosis in patients with anterior circulation aneurysms (ACA) by craniotomy clipping.Methods Clinical materials of 123 patients with ACA (135 aneurysms) by craniotomy clipping were analyzed retrospectively,including 40 patients had IAR (41 aneurysms) during operation.The general informations of IAR patients were analyzed.Prognostic factors of IAR were analyzed by single and multiple factor analysis.Results The sex,age,history of hypertension,aneurysm diameter,the use of temporary blockage and blocking time,intraoperative blood loss showed no significant influences on the prognosis of patients with IAR (P ＞0.05),while preoperative Hunt-Hess classification and intraoperative rupture were the influencing factors for the prognosis of IAR patients (P ＜ 0.01).The preoperative Hunt-Hess classification and intraoperative rupture were the independent risk factors for the prognosis of IAR patients (P ＜0.01).Conclusion In craniotomy clipping,the different aneurysm rupture points can significantly affect the prognosis of patients with ACA,and aneurysm neck rupture is a main factor for poor prognosis of patients.
