Influence of different interventional treatment timing on the prognosis of intracranial aneurysms
10.3760/cma.j.issn.1673-4904.2010.30.012
- VernacularTitle:不同介入治疗时机对颅内动脉瘤患者预后的影响
- Author:
Jianyong CAI
;
Jun SUN
;
Maohua CHEN
;
Chuan LU
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Subarachnoid hemorrhage;
Prognosis;
Interventional treatment
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(30):29-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of different interventional treatment timing on the prognosis of patients with intracranial aneurysms. Methods One hundred and thirty-eight patients with ruptured intracranial aneurysms were divided into group A (Ⅰ- Ⅲ grade) with 109 cases and group B ( Ⅳ- Ⅴ grade) with 29 cases according to Hunt-Hess grade when admitted. All patients received interventional treatment, the operation period was divided into early, middle and late stage according to the different time from disease time to operation, then compared the good rate, cerebral vasospasm and hydrocephalus incidence of patients underwent surgery at different period. Results The good rate at different period in group A were respectively 69.7% (23/33),58.8% (10/17) and 61.0% (36/59),which and the cerebral vasospasm and hydrocephalus incidence of patients underwent surgery at different period in group A had no significant difference(P > 0.05). The good rate of patients received surgical treatment at early stage in group B was 46.2%(6/13), which was significantly superior to late stage (0), the difference was statistically significant (P < 0.05), while the cerebral vasospasm and hydrocephalus incidence of patients underwent surgery at different period in group B had no significant difference(P> 0.05). Conclusion The prognosis of patients with Hunt-Hess grade Ⅰ - Ⅲ grade undergoing interventional treatment at early, middle and late stage can be satisfactory, while grade Ⅳ - Ⅴ grade patients should receive interventional treatment at early stage.
