手術(shù)時(shí)機(jī)對(duì)顱內(nèi)動(dòng)脈瘤性蛛網(wǎng)膜下腔出血患者預(yù)后的影響.pdf

1、寧夏醫(yī)科大學(xué)碩士學(xué)位論文手術(shù)時(shí)機(jī)對(duì)顱內(nèi)動(dòng)脈瘤性蛛網(wǎng)膜下腔出血患者預(yù)后的影響姓名：孫鵬申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：外科學(xué)指導(dǎo)教師：沈冰20100401寧夏醫(yī)科大學(xué)碩士研究生學(xué)位論文 英文摘要 ⅢThe influence of surgical timing on the clinical prognosis of pa

2、tients with aneurysmal subarachnoid hemorrhage ABSTRACT Object To investigate relationship between surgical timing and clinical prognosis of patients with aneurysmal subarachnoid hemorrhage (aSAH)。Methods From January

3、 2006 to June 2009, 248 patients with aSAH in our department were retrospected, 117of which treated by clipping and 131 by coiling. According to preoperative Hunt-Hess Scale they were divided into two groups: gradesⅠ~an

4、d grades Ⅲ Ⅳ~ . Based on the surgical timing, each Ⅴgroup was divided into early surgery group (SAH14d). The prognosis of patients by Glasgow Outcome Scale(GOS) and the incidence rate of the cerebral vasospasm were st

5、atistically compared and evaluated between each group．Results Among 248 cases, 219 cases were in gradesⅠ~ , 100 of which by clipping and 119 by coiling; 29 cases were in grades Ⅲ Ⅳ ~ , Ⅴ17 of which treated by clippin

6、g and 12 by coiling. For patients in gradesⅠ~ and grades Ⅲ Ⅳ~ , there were no statistically difference in GOS between the three surgery groups( Ⅴ P>0.05). For patients in gradesⅠ~ , the incidence rate of the cerebral

7、 vasospasm in early su Ⅲ rgery group and postponed surgery group were lower than that of intermediate surgery group(P0.05).Conclusions There were no effects of surgical timing on the prognosis for patients in grades to

8、 , but for preventing from re Ⅰ Ⅲ -rupture of aneurysm early operation should be done because of lower incidence rates of the cerebral vasospasm in early and postponed groups. For patients in grades Ⅳ~ there were no effe