[Microsurgery for intracranial aneurysm:analysis of 438 cases].
OBJECTIVE
To summarize the experience of surgical therapy in a series of 438 patients with intracranial aneurysms.


METHODS
A retrospective analysis was made on the clinical data of 438 patients, in terms of the perioperative management, timing of surgery, surgical skills, and The HUNT-HESS grade.


RESULTS
438 patients with 476 aneurysms underwent microsurgery, in which 450 aneurysms were clipped, 14 were wrapped, 8 were isolated,4 were cut. 32 aneurysms were ruptured (6.72%) during the operation. The relation between Hunt-Hess scale and mortality is significant postpone operation (> or =7 d) has got a better curative effect than the early.


CONCLUSIONS
Microsurgical treatment is a confirmed effective method with intracranial aneurysms. The higher of HUNT-HESS grade will result to the worse clinical outcome.
Zhang
Shi-yuan
SY
Department of Neurosurgery, Hua Xi Hospital, Si Chuan University, Chengdu 610041, China.
You
Chao
C
Liu
Jin-ping
JP
Mao
Bo-yong
BY
He
Min
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000401:mortality / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome