Clinical efficacy analysis of microsurgical clipping in treatment of ruptured intracranial aneurysm in elderly patients
10.3760/cma.j.issn.0254-9026.2014.04.006
- VernacularTitle:老年患者颅内动脉瘤破裂显微夹闭术的临床疗效分析
- Author:
Tao ZHANG
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Micromanipulation
- From:
Chinese Journal of Geriatrics
2014;33(4):359-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical efficacy of microsurgical clipping for the treatment of ruptured intracranial aneurysm in elderly patients.Methods 150 patients with ruptured intracranial aneurysms in our hospital from May 2009 to Apr 2013 were randomly divided into observation group and control group,with 75 cases in each group.The observation group was treated with microsurgical clipping,and the control group was treated with endovascular intervention.The efficacy,Glasgow outcome scale (GOS) and postoperative complications were compared between two groups.Results The success rate of microsurgical clipping was significantly higher in observation group than in the control group (96.0％ vs.78.7％,x2 =13.54,P＜0.05).The cure rate of GOS scale was significantly higher in observation group than in the control group (80％ vs.66.7％,x2 =4.525,P＜0.05).The incidence rate of postoperative complications was significantly lower in the observation group than in the control group (9.3％ vs.20.0％,x2 =4.58,P＜0.05).Conclusions Microsurgical clipping for the treatment of ruptured intracranial aneurysm has the high success rate and cure rate,with fewer complications and lower medical costs,and is worthy of promotion.
