CAJ | 학술논문

目的：探讨重症大脑中动脉动脉瘤破裂的手术治疗疗效和内科治疗的近期疗效。方法回顾性分析重症大脑中动脉动脉瘤破裂患者20例的临床资料,其中13例进行手术治疗(手术组),7例进行保守治疗(保守治疗组),对两组患者进行格拉斯哥预后评分(GOS评分),并进行对比和分析。结果手术组中13例14枚动脉瘤均成功夹闭,术后3个月, GOS评分良8例,中度病残2例,重度病残2例,死亡1例。保守治疗组死亡3例,植物生存1例,重度病残2例,轻度病残1例。两组疗效差异具有统计学意义(P<0.05)。结论对于重症大脑中动脉动脉瘤破裂的患者应及早进行手术治疗,积极的手术治疗可使患者死亡率降低,生存率提高,获得更好的预后。
목적：탐토중증대뇌중동맥동맥류파렬적수술치료료효화내과치료적근기료효。방법회고성분석중증대뇌중동맥동맥류파렬환자20례적림상자료,기중13례진행수술치료(수술조),7례진행보수치료(보수치료조),대량조환자진행격랍사가예후평분(GOS평분),병진행대비화분석。결과수술조중13례14매동맥류균성공협폐,술후3개월, GOS평분량8례,중도병잔2례,중도병잔2례,사망1례。보수치료조사망3례,식물생존1례,중도병잔2례,경도병잔1례。량조료효차이구유통계학의의(P<0.05)。결론대우중증대뇌중동맥동맥류파렬적환자응급조진행수술치료,적겁적수술치료가사환자사망솔강저,생존솔제고,획득경호적예후。
ObjectiveTo investigate short-term curative effects by surgical treatment and medical treatment for severe ruptured middle cerebral artery aneurysm.MethodsA retrospective analysis was made on clinical data of 20 patients with severe ruptured middle cerebral artery aneurysm. There were 13 cases receiving surgical treatment (surgery group) and 7 cases receiving conservative treatment (conservative treatment group). Glasgow outcome scale (GOS) scores of the two groups were made for comparison and analysis.ResultsAll the 13 cases, as 14 aneurysms, received successful occlusion in the surgery group. In 3 months after surgery, there were 8 cases with good GOS score, 2 moderately disabled cases, 2 severely disabled cases, and 1 death case. In the conservative treatment group, there were 3 death cases, 1 vegetative case, 2 severely disabled cases, and 1 slightly disabled case. The difference of curative effect between the two groups had statistical significance (P<0.05).ConclusionEarly surgical treatment is essential for patients with severe ruptured middle cerebral artery aneurysm. Active surgical treatment can reduce mortality rate and improve survival rate, with good prognosis.