Microsurgery for intracranial aneurysm:analysis of 438 cases.
- Author:
Shi-yuan ZHANG
1
;
Chao YOU
;
Jin-ping LIU
;
Bo-yong MAO
;
Min HE
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Child; Female; Humans; Intracranial Aneurysm; mortality; surgery; Male; Microsurgery; methods; Middle Aged; Neurosurgical Procedures; methods; Prognosis; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2008;46(8):598-601
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experience of surgical therapy in a series of 438 patients with intracranial aneurysms.
METHODSA retrospective analysis was made on the clinical data of 438 patients, in terms of the perioperative management, timing of surgery, surgical skills, and The HUNT-HESS grade.
RESULTS438 patients with 476 aneurysms underwent microsurgery, in which 450 aneurysms were clipped, 14 were wrapped, 8 were isolated,4 were cut. 32 aneurysms were ruptured (6.72%) during the operation. The relation between Hunt-Hess scale and mortality is significant postpone operation (> or =7 d) has got a better curative effect than the early.
CONCLUSIONSMicrosurgical treatment is a confirmed effective method with intracranial aneurysms. The higher of HUNT-HESS grade will result to the worse clinical outcome.
