Clinical application of external ventricular drainage for ruptured anterior communicating artery aneurysms
10.11659/jjssx.04E017034
- VernacularTitle:脑室外引流在前交通动脉瘤急诊手术中的临床应用疗效
- Author:
Heng ZHANG
1
;
man Xiao ZHOU
;
Xing YANG
;
Shuo WEI
;
chang Wen GAO
Author Information
1. 徐州医科大学附属医院神经外科
- Keywords:
anterior communicating artery aneurysms;
microsurgery;
pterional approach;
external ventricular drainage;
Glasgow prognostic score
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(10):764-767
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of external ventricular drainage on the prognosis of anterior communicating artery aneurysms.Methods Retrospectively collected and analyzed 96 patients of anterior communicating artery aneurysms who were treated in our hospital from June 2013 to October 2015,and they were divided into the observation group which was given external ventricular drainage treatment and the control group which was not given external ventricular drainage treatment.These patients were followed up for 6 months to 2 years,and the results of the 2 groups were graded according to the analysis of postoperative complications and the Glasgow prognostic score (GOS).Meanwhile,evaluated the general function of the patients according to the KPS score.Results The the incidence rate of complications after treatment in observation group was 54.17％,which was lower than 86.96％ in the control group,and the difference was statistically significant(P ＜ 0.05).The cure rate of observation group was 79.16％,which was higher than 50％ in the control group,and the difference was statistically significant (P ＜ 0.05).The postoperative KPS score in the observation group was (79.68 ± 13.24) points,which was higher than (62.57 ± 12.72) points in the control group,and the differences were statistically significant (P ＜ 0.05).Conclusion External ventricular drainage can reduce the compression injury of the brain tissue to a minimum degree,reduce intracranial pressure,relieve cerebral edema caused by intracranial pressure,reduce complications,and improve the prognosis of patients and the cure rate.
