http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
노인 뇌동맥류 환자에서 혈관내 치료와 개두술 시 수술방법에 따른 합병증의 비교
김건희 ( Gunn Hee Kim ),정양훈 ( Yang Hoon Chung ),김명희 ( Myung Hee Kim ),정익수 ( Ik Soo Chung ),이정진 ( Jeong Jin Lee ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.4
Background: The aim of this study was to compare intraoperative and postoperative complications and clinical outcome of endovascular coiling (EVT) with neurosurgical clipping (NST) under general anesthesia in the cerebral aneurysm patients older than 60 years. Methods: We retrospectively reviewed the charts, operative reports of patients who underwent EVT or NST at our hospital between January 2006 and August 2008. A total of 181 patients (EVT=78, NST=103) were included in this study. Results: The rate of intraoperative event was higher in EVT than in NST but postoperative complication and Glasgow outcome scale (GOS) at 6 months did not show statically significance in both groups. Preoperative aneurysm rupture, age and the World Federation of Neurological Surgeons grade (WFNS) were the influencing factors for outcome in both groups. Anesthetic agents, body temperature and vasoactive drugs were significantly different between the two groups but the effects of these on the outcome of patients were insignificant. Conclusions: In EVT and NST, the variables related to the postoperative complications were preoperative aneurysm rupture, age and WFNS. When the elderly patients get these procedures, more close care should be considered postoperatively. (Korean J Anesthesiol 2009;57:460∼5)