Early And Non-early Surgery For Ruptured Intracranial Aneurysms: Analysis Of 184 Cases

Objective To investigate the therapeutic effects of early and non-early surgery for ruptured intracranial aneurysms. Methods The data of 184 cases of ruptured intracranial aneurysm admitted in our hospital from Dec 2008 to Sep 2009 was retrospectively analysed.These cases were divided into 2 groups according to the time of surgery. Early surgery group (<3day) and non-early group (>3day).Investigate the rate of rebleeding before surgery,rate of complete clipping,rate of main complications:cerebral infarction,hydrocephalus.And GOS(Glasgow Outcome Scale) scores of these patients were evaluated through 6-12months follow-up after surgery. Results Non-early surgery group has higher (8.54%7/82)rebleeding rate than early surgery group (1.96% 2/102),_while early surgery group has higher (91.2%93/102)complete clipping rate than non-early surgery group (80.5%66/82).The cerebral infarction, hydrocephalus rate and GOS scores of two groups have no significant difference.Conclusions Early surgery may reduce the rebleeding rate before surgery and decrease the mortality.It may also increase the rate of complete clipping significantly through continuous lumbar cerebro-spinal fluid drainage and other mathods.