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
丁璇;王志刚;王成伟;王益华
【期刊名称】《中华医学杂志》 【年(卷),期】2012(092)043
【摘要】Objective To compare the outcomes of surgical clipping,interventional treatment and conservative treatment of poor-grade aneurysm patients.Methods A total of 119 patients of WFNS( World Federation of Neurosurgical Societies ) grades Ⅳ ( n =73 ) and Ⅴ ( n =46 ) from June 2004 from to December 2011 were analyzed.There were 51 males and 68 female with a mean age of 55.2 years (range:32-77).The approaches included surgical clipping ( n =57 ),interventional embolization ( n =40) and conservative treatment (n =22).Their outcome were assessed with a 3-month follow-up according to the Glasgow outcome score (GOS).Results In surgical clipping group,the prognoses were excellent (5-4points,n =22),poor prognosis (3-2 points,n =30) and death ( 1 point,n =5) ; excellent ( n =26),poor ( n =1 ) and death ( n =13 ) in interventional embolization group ; excellent ( n =0 ),poor ( n =3 ) and death (n =19) in conservative treatment.The excellent outcome of interventional embolism was better than those of surgical clipping and conservative treatment ( P ＜ 0.05 ),but it had higher mortality than surgical clipping (P ＜ 0.05).In
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
