CAJ | 학술논문

目的研究老年人自发性蛛网膜下腔出血患者的诊治策略及疗效. 方法 68例60岁以上自发性蛛网膜下腔出血患者,均行全脑血管造影,共发现颅内动脉瘤72个,47例患者(59个动脉瘤)接受栓塞治疗,6例患者(6个动脉瘤)行显微神经外科手术夹闭,7例患者选择保守治疗.结果 57个动脉瘤被成功栓塞,技术成功率为96.6%,其中致密栓塞40个(占70.2%),不完全栓塞17个(占29.8%);47例患者中,出院时根据格拉斯哥预后评分(Glasgow outcome scale,GOS)良好39例(占83.0%),较差7例(占14.9%),死亡1例. 结论对于老年自发性蛛网膜下腔出血患者特别是存在颅内动脉瘤者,积极的干预措施如血管内栓塞治疗能取得较好的效果.
목적 연구노년인자발성주망막하강출혈환자적진치책략급료효. 방법 68례60세이상자발성주망막하강출혈환자,균행전뇌혈관조영,공발현로내동맥류72개,47례환자(59개동맥류)접수전새치료,6례환자(6개동맥류)행현미신경외과수술협폐,7례환자선택보수치료.결과 57개동맥류피성공전새,기술성공솔위96.6%,기중치밀전새40개(점70.2%),불완전전새17개(점29.8%);47례환자중,출원시근거격랍사가예후평분(Glasgow outcome scale,GOS)량호39례(점83.0%),교차7례(점14.9%),사망1례. 결론 대우노년자발성주망막하강출혈환자특별시존재로내동맥류자,적겁적간예조시여혈관내전새치료능취득교호적효과.
Objective To explore the diagnosis, treatment strategies and clinical outcomes of spontaneous subarachnoid hemorrhage in elderly patients. Methods A total of 68 patients aged over 60 years presenting with spontaneous subarachnoid hemorrhage underwent cerebral angiography. And 72 intracranial aneurysms were detected in 60 patients, among whom 47 patients with 59 aneurysms underwent endovascular coil embolization, 6 aneurysms in 6 patients were clipped in microneurosurgery operation, and 7 patients chose conservative treatment. Results A total of 57 aneurysms (96.6%) were embolized successfully, among which 40 aneurysms (70.2%) reached dense occlusion and 17 aneurysms (29.8%) reached incomplete occlusion. Among 47 patients undergoing endovascular treatment, 39 patients (83.0%) were evaluated as good, 7 patients (14.9%) were moderately to seriously disabled according to Glasgow Outcome Scale when they were discharged, and one patient died. Conclusions Active treatment such as endovascular coil embolization can acquire good outcome in elderly patients with spontaneous subarachnoid hemorrhage, especially in elderly patients detected with aneurysms.