不同处理方式对蛛网膜下腔出血预后的影响

目的探讨开颅动脉瘤夹闭术和血管内栓塞治疗术对动脉瘤性蛛网膜下腔出血患者预后的影响。方法自2009年1～9月，连续入选在我院神经内科急诊就诊，发病72小时内明确诊断的动脉瘤蛛网膜下腔出血患者，分为开颅动脉瘤夹闭和血管内栓塞治疗两组，比较两组患者术后7d的美国国立卫生院神经功能缺损评分（NationalInstitutesofHealthStrokeScale，NIHSS）、格拉斯哥昏迷量表（GtasgowComaScale，GCS）评分和病死率，采用改良的Ranking量表（modifiedRankingScale，mRS）评定两组患者术后50d预后不良率。结果研究中共入选86例患者，其中开颅动...

Full description

Saved in:
Bibliographic Details
Published in中国卒中杂志 Vol. 6; no. 9; pp. 700 - 704
Main Author 闫婧 白莹 边立衡 赵性泉
Format Journal Article
LanguageChinese
Published 首都医科大学附属北京天坛医院神经内科,北京市,100050 2011
Subjects
动脉瘤
栓塞
神经外科手术
蛛网膜下腔出血
预后
预后
蛛网膜下腔出血
动脉瘤
神经外科手术
栓塞
Online AccessGet full text
ISSN1673-5765
DOI10.3969/j.issn.1673-5765.2011.09.006

Cover

More Information
Summary:目的探讨开颅动脉瘤夹闭术和血管内栓塞治疗术对动脉瘤性蛛网膜下腔出血患者预后的影响。方法自2009年1～9月，连续入选在我院神经内科急诊就诊，发病72小时内明确诊断的动脉瘤蛛网膜下腔出血患者，分为开颅动脉瘤夹闭和血管内栓塞治疗两组，比较两组患者术后7d的美国国立卫生院神经功能缺损评分（NationalInstitutesofHealthStrokeScale，NIHSS）、格拉斯哥昏迷量表（GtasgowComaScale，GCS）评分和病死率，采用改良的Ranking量表（modifiedRankingScale，mRS）评定两组患者术后50d预后不良率。结果研究中共入选86例患者，其中开颅动脉瘤夹闭术51例，血管内栓塞治疗术55例。两组术后7dNIHSS评分、GCS评分及病死率差异无统计学意义。开颅动脉瘤夹闭组治疗50d不良预后率（mRS〉2分）高于血管内栓塞治疗组（555％vs14．5％），差异有统计学意义（P=0．051）。结论动脉瘤性蛛网膜下腔出血后早期进行血管内栓塞治疗术的短期预后优于开颅动脉瘤夹闭术。
Bibliography:YAN Jing, BAI Ying, BIAN Li-Heng, ZHAO Xing-Quan. Department of Neurology, Beijing Xuanwu Hospital, Capital Medical University, Beijing 100053, China
11-5434/R
Objective To compare the short-term prognosis of endovascular coiling with neurosurgical clipping in anenrysmal subarachnoid hemorrhage. Methods We enrolled 86 patients with aneurysmal subarachnoid hemorrhage and assigned them to neurosurgical clipping group（n=51） or endovascular treatment group（n=35）. National Institutes of Health Stroke Scale（NIHSS）, Glasgow Coma Scale（GCS）, and mortality were assessed at 7 days after treatments, modified Ranking Scale（mRS） were assessed at 30 days after treatments. To compare the prognosis of the two groups. Results There were no significant differences of NIHSS, GCS and mortality at 7 days after treatments in neurosurgical clipping group and endovascular treatment group, but unfavorable prognosis rate（mRS〉2） in neurosurgical clipping group was higher than that in endovascular treatment group（35.3% vs 14.3%, P=0.031 ）
ISSN:1673-5765
DOI:10.3969/j.issn.1673-5765.2011.09.006