Efficacy analysis of craniotomy and neurosurgical clipping in older adults with ruptured intracranial aneurysms
10.3760/cma.j.issn.0254-9026.2013.07.013
- VernacularTitle:老年颅内破裂动脉瘤患者开颅夹闭疗效分析
- Author:
Wei YAN
;
Jinsheng CHANG
;
Honglei LIANG
;
Peng HE
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Neurosurgical procedures
- From:
Chinese Journal of Geriatrics
2013;32(7):727-729
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of craniotomy and aneurysm clipping in elderly patients with ruptured intracranial aneurysms.Methods Totally 75 elderly patients with ruptured intracranial aneurysms in our hospital who underwent craniotomy and intracranial aneurysm clipping:approaching into head by wing point based on CT image,selecting the appropriate position and angle for clipping the aneurysm.Surgical efficacy and postoperative complications were observed.Prognosis was assessed by Glasgow Outcome Scale (GOS).Results 77 aneurysms presented in 75 patients and 76 aneurysms were clipped.The main postoperative complications were intracranial hematoma (5 cases),pulmonary infection (4 cases),electrolyte imbalance (10 cases),intracranial infection (2 cases),arrhythmia (3 cases),gastrointestinal bleeding (5 cases),cerebral infarction (3 cases).GOS assessment demonstrated that prognosis in 48 cases was good (64.0％),16 cases was moderate disability (21.3％),6 cases was severe disability (8.0％),2 cases was vegetative survival (2.7％),3cases was in death (4.0％).The cure rate was 64.0％ and the overall good-prognosis rate was 85.3％.Conclusions Craniotomy and aneurysm clipping has a better surgical efficacy and a high cure rate in elderly patients with ruptured intracranial aneurysm.
