The efficacy of microsurgical clipping treatment for intracranial aneurysm rupture and optimal timing research
10.3760/cma.j.issn.1008-6706.2019.19.016
- VernacularTitle: 早期显微夹闭术治疗颅内动脉瘤破裂出血的疗效及手术时机探讨
- Author:
Haifei CHAI
1
;
Xiaoqin GUO
2
;
Xueqin ZHU
1
;
Xiaoming HU
1
Author Information
1. Department of Neurosurgery, Taizhou Enze Medical Center (Group) Hospital, Taizhou, Zhejiang 317000, China
2. Department of Anesthesiology, Taizhou Enze Medical Center (Group) Taizhou Hospital, Taizhou, Zhejiang 317000, China
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Microsurgery;
Microsurgical clipping;
Optimal timing
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(19):2377-2380
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical efficacy of microsurgical clipping treatment for intracranial aneurysm rupture and optimal timing.
Methods:From January 2016 to December 2017, 80 patients with intracranial aneurysm rupture in Taizhou Enze Medical Center(Group) Hospital were randomly divided into the control group (24-72h after rupture) and the observation group (within 24h after rupture) according to the digital table, with 40 patients in each group.The pre- and intra-surgical re-rupture and surgical clipping, post-surgical complications, and clinical efficacy of 6-month follow-up in the two groups were observed and compared.
Results:Compared with the control group, the incidence rate of pre-surgical re-rupture was significantly reduced in the observation group (0.0% vs.10.0%, χ2=4.21, P<0.05). Compared with the control group, the incidence rate of post-surgical complications was obviously reduced in the observation group (20.0% vs.42.5%, χ2=4.71, P<0.05). Compared with the control group, the excellent rate of treatment was significantly improved in the observation group (87.5% vs.65.0%, χ2=5.59, P<0.05).
Conclusion:The microsurgical clipping treatment can improve the clinical efficacy of intracranial aneurysm rupture and sooner surgery with better prognosis.
