Clinical analysis on microsurgery assisted by improved Paine point ventricular puncture in 67 patients with early intracranial aneurysm rupture
10.3760/cma.j.jssn.1673-4904.2016.08.009
- VernacularTitle:改良Paine点脑室穿刺协助早期颅内动脉瘤破裂显微手术67例临床分析
- Author:
Wenwei LUO
;
Xiaoliang WANG
;
Daoming YANG
;
Wenpei CHEN
;
Jinsheng HUANG
;
Chunlin ZHANG
;
Yuhai BAO
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Microsurgery;
Aneurysm,ruptured
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(8):704-707
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the microsurgery methods in patients with early intracranial aneurysm rupture. Methods Sixty-seven patients with early intracranial aneurysm rupture received the emergency microsurgery after releasing cerebrospinal fluid from improved Paine point via pterion craniotomy. Thirty-nine patients received surgery within 1 d after intracranial aneurysm rupture, and the other 28 patients were within 1-3 d. Results The therapeutic effect was evaluated by Glasgow outcome score (GOS) at discharge. Among the 45 patients with Hunt-Hess Ⅰ-Ⅲ grade, cure was in 41 cases, improved in 4 cases. Among the 22 patients with Hunt-HessⅣ-Ⅴgrade, cure was in 6 cases, improved in 6 cases, moderate disability in 4 cases, severe disability in 1 case, and death was in 5 cases. Conclusions The microsurgery of clipping aneurysm directly via pterion approach is still by far the most reliable treatment. And releasing cerebrospinal fluid from improved Paine points can effectively reduce the acute brain swelling of early operation, which will make it an effective adjuvant therapy to emergency microsurgery of clipping aneurysm.
