Objective To investigate the surgical treatment of ruptured intracranial aneurysms in acute stage and its clinical efficacy.Methods The clinical data of 38 patients with ruptured intracranial aneurysms who received surgical treatment from December 2017 to January 2022 were retrospectively analyzed.Results All 38 patients underwent operation within 72 h after hemorrhage.Of these 38 patients,31 patients were treated with microsurgical clipping and 7 patients with interventional embolization.After 3～48 months of follow-up,a modified Rankin scale(mRS)score of 0 was achieved in 19 patients,a mRS score of 1 in 6 patients,a mRS score of 2 in 5 patients,a mRS score of 4 in 1 patient,a mRS score of 5 in 1 patient,and a mRS score of 6 in 6 patients.The rate of good prognosis was 78.95%(30/38).Conclusions For patients with ruptured intracranial aneurysms,a good outcome can be achieved by individualized treatment in the acute stage according to the amount of blood loss shown by CT images,Hunt-Hess grade,aneurysm location,aneurysm size,morphological characteristics of aneurysms,and patients'age and basic conditions.
维普
万方数据