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目的分析手术治疗老年前循环颅内破裂动脉瘤患者的可行性。方法 80例老年前循环颅内破裂动脉瘤患者,根据术前Hunt-Hess分级情况,随机分为Ⅰ~Ⅲ级(63例)和Ⅳ~Ⅴ级(17例)两组,回顾性分析其临床资料,并观察手术治疗效果。结果 80例患者中76例患者痊愈,痊愈率为95.0%,2例患者轻残,轻残率为2.5%,2例发生死亡,死亡率为2.5%。Ⅰ~Ⅲ级良好率92.06%明显高于Ⅳ~Ⅴ级58.82%,两组比较差异有统计学意义(P<0.05)。结论早期手术治疗老年前循环颅内破裂动脉瘤患者效果显著,安全性和可行性高,值得临床推广使用。
Objective To analyze the feasibility of surgical treatment of elderly patients with ruptured intracranial rupture aneurysms. Methods Eighty elderly patients with intracranial rupture aneurysm were divided into two groups according to preoperative Hunt-Hess grading: Ⅰ ~ Ⅲ grade (63 cases) and Ⅳ ~ Ⅴ grade (17 cases). The clinical data Data, and observe the effect of surgical treatment. Results Among the 80 patients, 76 patients recovered and the cure rate was 95.0%. Two patients were mild residual disability with mild disability rate of 2.5%, two patients died and the mortality rate was 2.5%. The good rate of grade Ⅰ ~ Ⅲ was 92.06%, which was significantly higher than that of grade Ⅳ ~ Ⅴ 58.82%. There was significant difference between the two groups (P <0.05). Conclusion Early surgical treatment of elderly patients with intracranial rupture aneurysm has a significant effect, safety and feasibility, it is worth to promote the use of the clinic.