显微手术治疗颅内破裂动脉瘤后脑血管痉挛（CVS）发生的影响因素

摘要

目的：研究分析显微手术治疗颅内破裂动脉瘤后脑血管痉挛（CVS）发生的影响因素。方法回顾性分析本院2014年11月～2016年1月收治并采取显微手术治疗的颅内破裂动脉瘤患者51例临床资料。结果通过统计分析发现，A组高龄患者比例、Fisher分级Ⅱ级以上者，以及SAH 3周内行手术且术前SAH次数2次以上患者血管痉挛发生率高于B组，差异有统计学意义（P＜0.05）。结论显微手术治疗颅内动脉瘤后脑血管痉挛的因素复杂，需结合患者病情实际状态，选择恰当合理的治疗时机，通过良好的显微手术技巧降低脑血管痉挛发生率。%Objective To study the influencing factors of the occurrence of cerebral vasospasm(CVS)after microsurgical treatment of intracranial ruptured aneurysms.MethodsThe clinical data of 51 patients with ruptured intracranial aneurysms treated by microsurgery in our hospital from November 2014 to January 2016 were analyzed retrospectively.ResultsThrough statistical analysis found that the proportion of patients of elderly patients in the group A, fisher grade II level and above who,as wel as SAH 3 week underwent surgery and preoperative SAH times 2 times more than patients with vasospasm occurred was significantly higher than that in group B,the difference was statisticaly significant(P<0.05).Conclusion Factors of Microsurgical treatment of intracranial artery aneurysm cerebral vasospasm are complex. Combined with the actual status of the patient's condition,to select the appropriate timing of treatment,through good microsurgical techniques can reduce cerebral vasospasm incidence. Microsurgery,intracranial ruptured aneurysm,cerebral vasospasm, factors.