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作者收集了1983年9月至1993年8月间543例动脉瘤连续病例中接受手术治疗的494例的597次诊断性脑血管造影结果,并回顾性分析了术后脑血管造影的危险性和益处。 全部病例中男158例,女385例,平均年龄51岁(5～91岁)。10例术前死亡,余533例接受了外科手术。82％的动脉瘤破裂患者在SAH发生后3天内接受了手术治疗。接受了手术治疗的533例动脉瘤病人其动脉瘤部位分布为:胼周动脉18例(2.8％)、大脑前动脉7例(1.1％)、前交通动脉143例(22.5％)、大脑中动脉144例(22.6％)、脉络膜动脉6例(0.9％)、后交通动脉116例(18.2％)、颈内动脉分叉部8例(1.3％)、颈内动脉54例(8.5％)、眼动脉25例(3.9％)、基底动脉58例(9.1％)、小脑后下动脉19例(3％)、其他脑底动脉环后半部39例(6.1％)。共回顾分析了1119张术后脑血管造影片,在514例患者中,术前行全脑血管造影522次;31例出现并发症,包括11例腹股沟血肿,20例神经血管并发症。在494例患者中,术后行脑血管造
The authors collected 597 diagnostic cerebrovascular findings from 494 patients who underwent surgical treatment in 543 consecutive consecutive aneurysms between September 1983 and August 1993 and retrospectively analyzed the risk of postoperative cerebrovascular angiography benefit. In all cases, 158 males and 385 females, with an average age of 51 years (range 5 to 91 years). Ten patients died before surgery and 533 patients underwent surgery. Eighty-two percent of aneurysm ruptures were surgically treated within 3 days of SAH. The distribution of aneurysms in 533 patients with aneurysms undergoing surgery was 18 cases (2.8%) of the corpuscarpal artery, 7 cases (1.1%) of the anterior cerebral artery, 143 cases (22.5%) of the anterior communicating artery, middle cerebral artery 144 cases (22.6%), 6 cases of choroidal artery (0.9%), 116 cases of posterior communicating artery (18.2%), carotid bifurcation in 8 cases (1.3%), internal carotid artery in 54 cases (8.5% There were 25 cases (3.9%) of arteries, 58 cases (9.1%) of basilar artery, 19 cases (3%) of posterior inferior cerebellar artery and 39 cases (6.1%) of posterior cerebral artery rings. A total of 1119 postoperative cerebrovascular angiography films were retrospectively analyzed. Of the 514 patients, total cerebral angiography was performed 522 times before surgery. Complications were found in 31 patients, including 11 cases of groin hematoma and 20 cases of neurovascular complications. Among 494 patients, cerebral vessels were made after surgery