破裂颅内动脉瘤夹闭术后早期再手术原因分析

Earlyretreatmentaftersurgicalclippingofrupturedintracranialaneurysms

背景:虽然破裂颅内动脉瘤夹闭术后再破裂罕见,但是其并发症发生率和死亡率均高。而且,动脉瘤夹闭术后再次手术及动脉瘤再破裂的原因并不明确。

BACKGROUNDAlthoughareruptureaftersurgicalclippingofrupturedintracranialaneurysmsisrare,itisassociatedwithhighmorbidityandmortality.Thecausesforretreatmentandruptureaftersurgicalclippingarenotclearlydefined.

方法:从囊括了例接受过手术夹闭治疗的破裂颅内动脉瘤患者的前瞻性数据库中,选取夹闭术后30天内再手术或动脉瘤再破裂的患者入组。经由微血管多普勒超声检查和吲哚菁绿荧光视频血管造影明确动脉瘤闭塞程度。再次手术的适应证包括动脉瘤再破裂或部分闭塞。进而对动脉瘤早期再次手术的特征及原因进行分析。

METHODSFromaprospectivelymaintaineddatabaseofpatientswhohadundergonesurgicalclippingofrupturedintracranialaneurysms,weselectedpatientswhoexperiencedretreatmentorrerupturewithin30daysaftersurgicalclipping.AneurysmocclusionswereexaminedbymicrovascularDopplerultrasonographyandindocyaninegreenvideo-angiography.Indicationsforretreatmentincludedreruptureandpartialocclusion.Weanalyzedthecharacteristicsandcausesofearlyretreatment.

结果:全组动脉瘤夹闭术后30天内再手术患者6例(占2.5%,95%CI:0.9-5.3%),其中动脉瘤再破裂患者2例(占0.8%,95%CI:0.1-2.9%)。再次手术的患者中,动脉瘤位于前交通动脉(A







































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