Effect evaluation of emergency microsurgery in treatment of patients with hematoma-type anterior circulation ruptured aneurysm
10.7619/jcmp.201803004
- VernacularTitle:血肿型前循环破裂动脉瘤的急诊显微手术效果评价
- Author:
Chenyi WU
1
;
Yanjun SUN
;
Feihui ZOU
;
Fang LIU
;
Jinsong YANG
;
Minghai WANG
;
Kefeng LIU
;
Yougang WANG
Author Information
1. 南京医科大学附属常州市第二人民医院神经外科
- Keywords:
anterior circulation aneurysm;
intracranial hematoma;
microsurgery;
cranial aneurysm
- From:
Journal of Clinical Medicine in Practice
2018;22(3):16-18,22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of emergent microsurgery in treatment of patients with hematoma-type anterior circulation ruptured aneurysm.Methods The clinical data and therapeutic effect of emergency microsurgery for 32 patients with hematoma-type anterior circulation ruptured aneurysm were analyzed retrospectively.Results Finally 32 patients underwent emergency craniotomy clipping and hematoma removal in 24 h.Among them,15 cases underwent decompressive craniectomy.One week after the operation,CTA revealed that all aneurysms were completely clipped.One patient with communicating hydrocephalus were treated with ventriculoperitoneal shunt,and 6 patients had different degrees of cerebral infarction.After 6 months of follow-up,the Glasgow outcome scale (GOS) showed that there were 5 cases of grade 5 (15.6％),12 cases of grade 4 (37.5 ％),12 cases of grade 3 (37.5％),2 cases of grade 2 (6.3％) and 1 case of grade 1 (6.3％).The prognosis satisfaction rate was 53.1％ (17/32).Conclusion Emergent microsurgery is effective in the treatment of patients with hematoma-type anterior circulation ruptured aneurysm.
