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| Analysis on Efficacy and Prognostic Factors of Craniotomy at Different Time and Endovascular Therapy for Subarachnoid Hemorrhage Caused by Ruptured Aneurysm |
| ZENG Guang, HONG Ming, XU Yan, et al |
| Liaoning Fuxin Mining Group General Hospital Neurosurgery, Liaoning Fuxin 123000, China |
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Abstract Objective: To analyze the difference for efficacy and prognosis of craniotomy at different time and endovascular therapy for SAH. methods: The clinical data of 152 patients with subarachnoid hemorrhage caused by ruptured aneurysm were analyzed retrospectively, and were divided into two groups according to Hunt-Hess classification, the low grade group(n=87, Ⅰ~Ⅲ level)and the high grade group(n=65, Ⅳ~Ⅴlevel). The GOS was applied to evaluate the prognosis of patients. The effect of craniotomy in the early process and endovascular intervention of two groups was compared. Results: In the low grade group, the good rate of craniotomy and endovascular intervention in the early process was higher than that of delayed treatment(P<0.05). In the high grade group, the good rate of craniotomy and endovascular intervention of delayed treatment was higher than that of early treatment(P<0.05). The difference for the good rate of craniotomy and endovascular intervention between low grade and high grade was not evident(P>0.05). Conclusion: Operation time is an important factor influencing treatment effect of subarachnoid hemorrhage caused by ruptured aneurysm, but operation method has no correlation with treatment effect. Taking craniotomy and endovascular intervention actively can effectively improve the prognosis.
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[1] 颜燕红,惠品晶,王中,等.动脉瘤性蛛网膜下腔出血患者的脑血流动力学分析[J].江苏医药,2012,38(12):1407~1409.
[2] Connolly ES Jr,Rabinstein AA,Carhuapoma JR等代表美国心脏协会/美国卒中协会.动脉瘤性蛛网膜下腔出血的治疗指南(ASA/AHA 2012版)(下)[J].中国脑血管病杂志,2013,10(4):217~224.
[3] 赵立军,张春阳,侯晓峰,等.自发性蛛网膜下腔出血致脑积水的治疗体会[J].中华神经外科杂志,2012,28(12):1266~1267.
[4] 黄国栋,李维平,高永中,等.显微手术治疗颅内动脉瘤后脑血管痉挛的相关因素分析[J].中国现代医学杂志,2012,22(34):58~61.
[5] 丁璇,王志刚,王成伟,等.不同治疗方式对高分级动脉瘤性蛛网膜下腔出血患者预后的影响[J].中华医学杂志,2012,92(43):3054~3057.
[6] 张峰,刘建峰,李鹏,等.动脉瘤性蛛网膜下腔出血后症状性脑血管痉挛的相关因素研究进展[J].中国全科医学,2012,15(21):2378~2380. |
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2017, Vol. 23 
