1、揚(yáng)州大學(xué)碩士學(xué)位目錄中文摘要2英文摘要3符號(hào)說(shuō)明4前言5日Ⅱ舌5資料與方法一7結(jié)果9討論13結(jié)念16典型病例17參考文獻(xiàn)23綜述動(dòng)脈瘤性蛛網(wǎng)膜下腔出血導(dǎo)致腦血管痙攣的研究進(jìn)展25致謝33攻讀期間發(fā)表文章34揚(yáng)州大學(xué)學(xué)位論文原創(chuàng)性聲明和版權(quán)使用授權(quán)書(shū)35墊型奎蘭堡主蘭篁———二三二Analysisofinfluenceofthedifferentbleedingpositionsofintraoperativeruptureanterio

2、rcirculationaneurysmonsurgicaltreatmentoutcomeAbstractObjective：Toinvestigatethepracticablefactorswhichhaveaninfluenceontheprognosisofanteriorcirculatingintraoperativeaneurysmrupture(IAR)，evaluatetheprognosticvalueofdiff

3、erentbleedingpositionsofIARinpatients，andtodescribethetechniquethatauthorshaveusedtocliptherupmredaneurysmsintheclippingoperationMethods：Theclinicaldataof135patientswith148aneurysms，treatedwithmicro—neurosurgicaltechniqu

4、esforclippingintracranialaneurysmfromMay2009toMarch，2012，wereretrospectivelyanalyzedStatisticsanalysiswasperformedtoanalyzethepossiblefactors，suchasage，genderpre一叩HuntHessScale，historyofhypertension，sizeofaneurysm，volume

5、ofintraoperativebloodloss(VIBL)，applicationoftemporaryclipanddifferentbleedingpositionResults：31aneurysmsof30patientsruptured(2222％ofaneurysmsand2095％ofpatients)duringtheoperationsTheoutcomeofpatientswereestimatedbyGlasg

6、owomcomescale(GOS)byfollow!ngupat1，3，and6monthsaftersurgery：94patientswere5，23patientswere4，9patientswere3，2patientswere2and8patientswere1Statisticanalysisrevealedthatage(P=0626，OR=2667)，gender(P=1000，OR=I185)，size(P=I00

7、0，OR=I417)，hypertension(P0336，OR=O231)，applicationoftempomryclip(P=0364，OR=2667)，timeoftemporaryclip(P=0490，OR=3000)andVIBL(P=0593，OR=I882)arenotthefactorsthatinfluencedtheprognosisoftheoperationwithIAR，whereaspre—operat

8、iveHunt—Hessscale(P=0009，OR=36000)anddifferentbleedingposition(P=0001，OR=10000)havesignificantinfluenceonitConclusion：DifferentbleedingpositionshassignificantinfluenceontheprognosisofpatientswithIAR，andtheneckisthemostde

9、vastatingcomplicationSurgeonstakeappropriatemeasuresaccordingtodifferentbleedingpositions，theefficiencyaccuracyandsecurityoftheoperationwillbeimprovedKeywords：Anteriorcirculatinganeurysm；Micmsurgicalclippingofaneurysm；In