CAJ | 학술논문

目的总结在CT血管造影(CTA)指导下急诊手术治疗Hunt-Hess高分级颅内动脉瘤破裂的经验.方法回顾性分析34例Hunt-Hess高分级的颅内动脉瘤破裂患者的临床资料.患者入院时均行CT和CTA检查.采用显微外科技术临时阻断载瘤动脉,夹闭动脉瘤颈,清除颅内血肿,并去骨瓣减压.结果按格拉斯哥预后量表评分,出院时恢复良好17例,轻残10例,重残3例,死亡4例.结论在紧急情况下CTA可作为诊断颅内动脉瘤的首要影像学方法.对于Hunt-Hess高分级颅内动脉瘤破裂的患者应该积极手术治疗,努力挽救患者生命.
목적 총결재CT혈관조영(CTA)지도하급진수술치료Hunt-Hess고분급로내동맥류파렬적경험.방법 회고성분석34례Hunt-Hess고분급적로내동맥류파렬환자적림상자료.환자입원시균행CT화CTA검사.채용현미외과기술림시조단재류동맥,협폐동맥류경,청제로내혈종,병거골판감압.결과 안격랍사가예후량표평분,출원시회복량호17례,경잔10례,중잔3례,사망4례.결론 재긴급정황하CTA가작위진단로내동맥류적수요영상학방법.대우Hunt-Hess고분급로내동맥류파렬적환자응해적겁수술치료,노력만구환자생명.
Objective To summarize the experience of emergency microsurgery under the guidance of computed tomographic arteriography (CTA) for treatment of Hunt-Hess high grade intracranial aneurysm rupture.Methods The clinical data of 34 patients with Hunt-Hess high grade intracranial aneurysm rupture were retrospectively analyzed.The CT and CTA were detected in the patients on admission.Emergency operation were all performed.The temporal occlusion of the parent artery,removed intracranial hematoma and clipping intracranial aneurysms by microsurgical techniques.All patients were removed skull.Results The prognosis was assessed by Glasgow outcome score (GOS),17 cases were recovered well,10 cases were mildly disabled,3 cases were severely disabled and 4 cases died.Conclusions CTA can be used as the primary diagnosis of intracranial aneurysm imaging methods under the emergency condition.The patients with HuntHess high grade intracranial aneurysm rupture should make positive surgical treatment to save live.