显微外科手术治疗颅内动脉瘤89例

目的探讨显微外科手术治疗颅内动脉瘤的方式、策略、时机及疗效。方法回顾性分析本科经显微外科手术治疗的89例颅内动脉瘤患者的临床资料。结果89例患者术后1个月按GOS评分评定预后，其中5级74例（83．15％）、4级9例（10．11％）、3级3例（3．37％）、2级1例（1．12％）、1级2例（2．25％）。结论显微外科手术是治疗颅内动脉瘤确实有效的方法。对于不同的患者，采用不同的手术方式，尽早手术治疗，根据患者的具体情况制定相应的治疗策略，是保证手术疗效的关键。

89 cases of treatment for intracranial aneurysm by microsurgery

Objective To investigate the method, strategic, timing and efficacy of microsurgical treatment on intracranial aneurysm. Methods A retrospective analysis was made on the clinical data of 89 patients with intracranial aneurysm treated by microsurgery. Results The prognosis was assessed according to GOS score 1 month after operation, 74 cases （83.15%） were 5 grade, 9 cases （ 10. 11% ） were grade 4, 3 cases （3.37%） were grade 3, 1 case（ 1.12% ） was grade 2, 2 cases （2.25%） were grade 1. Conclusions Microsurgical treatment of intracranial aneurysm is effective. Different surgical approaches for different patients, early surgical treatment, appropriate treatment strategies according to the specific situation of patients are the key to ensure the efficacy.