【摘要】 目的探讨影响破裂大脑中动脉瘤手术预后的重要因素。方法对83例破裂大脑中动脉瘤手术病人的临床资料进行回顾性研究,运用Logistic-regression统计学方法,对病人的年龄、意识、颅内血肿、动脉瘤破裂次数、脑血管痉挛等19个可能影响预后的因素进行分析,以确定对预后最有价值的变量因素。随访时间0.5~10年。结果颅内血肿、动脉瘤破裂次数对预后的影响最有价值(P <0.05)。结论颅内血肿、动脉瘤破裂次数是影响预后最重要的因素,早期手术对提高破裂大脑中动脉瘤手术疗效有重要意义。更多还原

【Abstract】 Objective To explore the significant factors of ruptured middle cerebral artery aneurysms (rMCAA) after surgical treatment which affect the prognosis. Methods Medical history and prognosis of patients with ruptured middle cerebral artery aneurysms after surgical treatment was reviewed in 83 cases, and statistical Logistic-regression was applied to analyze the effect of 19 factors including age,consciousness, intracranial hematoma, times of rupture of aneurysms and cerebral vascular spasm on prognosis to determine the most valuable variable factor. A follow-up period ranged from half a year to 10 years. Results The prognosis of patients was strongly influenced by accompanied intracranial hematoma and times of aneurysms rupture, P < 0.05. Conclusions Intracranial hematoma and times of aneurysms rupture are the main factors which will influence the prognosis. The application of early operation have significantly improved surgical outcome of ruptured middle cerebral artery aneurysms.更多还原