To analyze the prognostic effect of ultra-early microscopic clip operation in treating the elderly patients with ruptured intracranial aneurysms.

A total of 130 elderly patients with ruptured intracranial aneurysms were selected in the Department of Neurosurgery, Weifang Brain Hospital from September 2011 to September 2016, and they were divided into ultra-early group (received microscopic clip operation within 1 day after onset, n=64), early group (received microscopic clip operation within 1 day to 3 days after onset, n= 42) and middle-late group groups (received microscopic clip operation after 3 days of onset, n=24) according to operation opportunity. All of the patients were followed up for 3 months, prognostic effect and incidence of complications were compared among the three groups.

The prognostic effect of ultra-early group was statistically significantly better than that of early group (χ²=4.137) and middle-late group (χ²=4.043) , respectively (P<0. 05). There was no significant differences in the prognostic impact between early group (χ²=0.031) and middle-late group(P>0. 05). In the three groups, the rate of hydrocephalus in ultra-early group was significantly lower than that of early group (χ²=4.705) and middle-late group (χ²=8.282), the difference was statistically significant (P<0.05), but there was no significant difference between early group (χ²=0.530) and middle-late group (P>0.05). There were no statistically significant in the three groups in the incidence of rehaemorrhagia and postoperative cerebral infarction (P>0.05).

Ultra-early microscopic clip operation has good prognostic effect and can reduce the incidence of hydrocephalus in treating the elderly patients.