Microsurgical And Endovascular Treatment On 305 Cases Of Intracranial Aneurysms

Intracranial aneurysms are common disease. It has higher morbidity and mortality rate and threaten severely the health of people. So it is very important that early diagnosis and effective therapy. This article retrospective analysis was made on the clinical data of 305 intracranial aneurysm patients. Our Conclusions that microsurgical operating and endovascular treatment are very effective methods to intracranial aneurysms. How to selected surgical treatment methods according to the size and location of the intracranial aneurysms as well as the experiences of the operators may result in satisfactory therapeutic efficacy in the treatment of intracranial aneurysms. Objective: To evaluate the clinical outcomes of surgical treatment of intracranial aneurysm and choose therapy methods. Methods: 305 cases of intracranial aneurysms received microsurgery and endovascular treatment in jilin uniyersity the first of hospital from September 2002 to December 2004. Glasgow outcome scale (GOS) was used to evaluate the clinical effects. Results: 234 patients received microsurgery. satisfactory recovery in 160 cases (68.4%), 40 cases were mild disabled (17.1%), 23 cases were severely disabled (9.8%), 11cases were died (4.7%) . endovascular treatment were obtained in 41cases. All patients satisfactory recovery. A follow-up of 130 patients for 3 to 24 months revealed satisfactory recovery. Conclusions: Microsurgical operating and endovascular treatment are very effective methods to intracranial aneurysms, Different surgical treatment methods selected according to the size and location of the intracranial aneurysms as well as the experiences of the operators may result in satisfactory therapeutic efficacy in the treatment of intracranial aneurysms.