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目的探讨高龄患者颅内动脉瘤破裂的最佳治疗方法。方法采取血管内栓塞术结合微创血肿清除术及康复训练等综合方法对13例高龄颅内动脉瘤破裂患者进行治疗。结果根据格拉斯哥预后评分(GCS)评估预后,13例患者出院时GCS评分5级者7例,4级者4例,3级者2例。结论血管内栓塞术结合微创血肿清除术,无具体条件限制,适应于各种类型的动脉瘤,特别适合于高龄患者,值得推广应用。
Objective To investigate the best treatment for ruptured intracranial aneurysm in elderly patients. Methods Thirteen elderly patients with ruptured intracranial aneurysms were treated with a combination of endovascular embolization and minimally invasive hematoma resection and rehabilitation training. Results The prognosis was evaluated according to the Glasgow Outcome Scale (GCS). Out of 13 patients, 7 had GCS at 5, 4 had 4, and 3 had 2 at discharge. Conclusion Endovascular embolization combined with minimally invasive hematoma removal without specific conditions, adapted to various types of aneurysms, especially suitable for elderly patients, it is worth promoting.