CAJ | 학술논문

目的探讨前交通动脉瘤并发颅内血肿的外科治疗方式及预后.方法回顾性分析外科治疗的33例前交通动脉瘤并发颅内血肿的临床资料,单纯动脉瘤夹闭7例,单纯血管内栓塞10例,夹闭或栓塞术后联合降低颅内压手术16例,电话或门诊随访,GOS评价患者预后.结果随访时间3-40个月,平均随访22.8个月,GOS 5分13例,GOS 4分11例,GOS 3分1例,GOS 2分3例,死亡5例.结论前交通动脉瘤并发颅内血肿患者病情复杂,血肿清除、去骨瓣减压术或脑室外引流等降低颅内压在外科治疗中起重要作用.
목적 탐토전교통동맥류병발로내혈종적외과치료방식급예후.방법 회고성분석외과치료적33례전교통동맥류병발로내혈종적림상자료,단순동맥류협폐7례,단순혈관내전새10례,협폐혹전새술후연합강저로내압수술16례,전화혹문진수방,GOS평개환자예후.결과 수방시간3-40개월,평균수방22.8개월,GOS 5분13례,GOS 4분11례,GOS 3분1례,GOS 2분3례,사망5례.결론 전교통동맥류병발로내혈종환자병정복잡,혈종청제、거골판감압술혹뇌실외인류등강저로내압재외과치료중기중요작용.
Objective To investigate the curative effect of different surgical treatments and outcome of patients with anterior communicating artery (ACOA) aneurysrs associated with intracranial hematoma.Method 33patients with ruptured ACOA aneurysms associated with hematoma in our hospital were reviewed retrospectively.7patients underwent only microsurgical clipping,and 10 patients underwent only endovascular embolization,and 16patients underwent combined treatment of ventricular drainage or decompressior.Outcome was evaluated by GOS score.Results In 3 to 40 months (mean22.8months) follow-upperiod,13 cases had a good outcome of GOS 5,11 cases had GOS 4 outcome,1 case had GOS 3 outcome,3 cases had GOS 2 outcome and 5 cases had GOS 1 outcome.Conclusions The condition of patients with ruptured AcoA aneurysm associated with intracranial hematoma is very severe.It is very important to surgical treatment to decrease intracranial pressure,do ventricular drainage or decompression including aneurysm treatment.