Efficacy analysis of supraorbital lateral approach in the treatment of acute anterior circulation aneurysm rupture patients

doi:10.3877/cma.j.issn.2095-123X.2020.01.008

Abstract

Abstract:

Objective

To explore the therapeutic effect of supraorbital lateral approach in the treatment of acute anterior circulation intracranial aneurysm (IA) rupture.

Methods

Sixty patients with anterior circulation IA acute phase who were treated in neurosurgery department of Langfang Edberg Hospital from February 2016 to June 2019 were selected. According to the principle of random grouping, it is divided into trans-wing point approach group (WA group) and supraorbital lateral approach group (UA group), 30 cases in each group. WA group were treated by wing-point approach, UA group was treated by supraorbital lateral approach. The clinical indicators and treatment effects of two groups were analyzed.

Results

During the operation, the intraoperative blood loss [(164.81±24.13) mL], incision length [(18.59±2.04) cm], operation time [(182.35±21.75) min] of WA group were higher than that of UA group [(101.25±25.76) mL, (9.89±1.12) cm, (131.08±17.58) min], the differences were statistically significant (P<0.05). Twenty-two patients in WA group recovered well, 23 patients in UA group recovered well, and no death occurred in either group. The recovery rate of UA group was better than that of WA group (P>0.05). Eight patients in WA group had complications, and 2 patients in UA group had complications. The incidence of complications in UA group was lower than that in WA group (P<0.05).

Conclusion

Compared with the traditional surgical methods, the supraorbital lateral approach has better therapeutic effect, better prognosis and lower complication rate.

Key words: Intracranial aneurysm, Anterior circulation, Supraorbital lateral approach

Shunyi Zhou, Quanle Zheng, Jiarui Zhang, Chunhu Li, Yali Yin, Tongle Zhang. Efficacy analysis of supraorbital lateral approach in the treatment of acute anterior circulation aneurysm rupture patients[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2020, 10(01): 34-37.

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References 15

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因素		WA组(n=30)	UA组(n=30)	χ²/t值	P值
性别		?	?	0.030	0.862
?	男	16	17	?	?
?	女	14	13	?	?
Hunt-Hess分级		?	?	0.286	0.592
?	Ⅰ	6	8	?	?
?	Ⅱ	8	11	?	?
?	Ⅲ	16	11	?	?
合并疾病		?	?	0.059	0.808
?	高血压	8	9	?	?
?	糖尿病	9	13	?	?
?	意识障碍	12	11	?	?
?	癫痫	14	9	?	?
?	其他	10	12	?	?
年龄（Mean±SD，岁）		45.18±9.68	46.32±9.28	0.465	0.643
发病时间（Mean±SD，d）		2.29±0.33	2.31±0.35	0.227	0.820

因素		WA组(n=30)	UA组(n=30)	χ²/t值	P值
性别		?	?	0.030	0.862
?	男	16	17	?	?
?	女	14	13	?	?
Hunt-Hess分级		?	?	0.286	0.592
?	Ⅰ	6	8	?	?
?	Ⅱ	8	11	?	?
?	Ⅲ	16	11	?	?
合并疾病		?	?	0.059	0.808
?	高血压	8	9	?	?
?	糖尿病	9	13	?	?
?	意识障碍	12	11	?	?
?	癫痫	14	9	?	?
?	其他	10	12	?	?
年龄（Mean±SD，岁）		45.18±9.68	46.32±9.28	0.465	0.643
发病时间（Mean±SD，d）		2.29±0.33	2.31±0.35	0.227	0.820

组别	例数	切口长度(cm)	手术时间(min)	术中出血量(mL)
WA组	30	18.59±2.04	182.35±21.75	164.81±24.13
UA组	30	9.89±1.12	131.08±17.58	101.25±25.76
t值	?	20.481	10.040	9.862
P值	?	<0.001	<0.001	<0.001

组别	例数	切口长度(cm)	手术时间(min)	术中出血量(mL)
WA组	30	18.59±2.04	182.35±21.75	164.81±24.13
UA组	30	9.89±1.12	131.08±17.58	101.25±25.76
t值	?	20.481	10.040	9.862
P值	?	<0.001	<0.001	<0.001

组别	例数	恢复良好	轻度残疾	重度残疾	植物生存	良好率(%)
WA组	30	22	5	1	2	73.33
UA组	30	23	6	0	1	76.67
χ²值	?	?	?	?	?	0.063
P值	?	?	?	?	?	0.802

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