摘要
1967～1992年共收治颅内动脉瘤患者100例(动脉瘤109个)。直接开颅手术的近期效果:优级60%,良级16%,差级13%,死亡11%。远期随访优级72%,良级16.9%,差级4.5%,死亡6.7%。与近期预后有关的因素包括年龄、动脉瘤的大小和部位、手术方法和手术时机和围手术期的处理等,与术前的临床分级状况的关系尤为密切。远期预后与年龄、出院时的状况以及康复措施有关。
100 cases(109)of intracranial aneurysm underwent surgical treatment since 1967-1992.Methods of operation were clipping in 91,excision of aneurysm in 9,strentheningin 2,isolation in 4,isolation and bypass in 2,and embolization of aneurysm in 1.Results of operations were excellent in 60%,good in 16%,and poor in 13%.Theoperation mortality was 6.7%.The outcome of early surgicll intervention were associ-ated with age,size and location of aneurysm,method and timing of operation,periop-erational management and clinical classification.Factors affecting late outcome includedage,state of health at discharge and measures of rehabilitation.
出处
《上海医学》
CAS
CSCD
北大核心
1993年第7期387-389,共3页
Shanghai Medical Journal
关键词
颅内动脉瘤
预后
外科手术
Intracranial aneurysm
Surgical treatment
prognosis
