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Objective: various factors affecting the surgical treatment of intracranial aneurysms prognosis, to guide clinical treatment. Methods: A retrospective analysis from January 2001 to December 2007, 306 cases admitted to neurosurgery clinical data of the surgical treatment of patients with intracranial aneurysms, all patients were Hunt-Hess grade, Fisher grade, discharge Glasgow Outcome Score (Glasgow outcome scale GOS), to assess the clinical efficacy. The GOS score results, the patients were divided into five grades, observe the patient's age, blood pressure, Fisher grade, with or without hydrocephalus, Hunt-Hess grade, surgical timing of surgical outcomes. Results: (1) the data obtained using logistic regression analysis (stepwise regression α into = 0.05, α a = 0.10), the age factor is not selected; (2) the aneurysm with hypertension patients, the postoperative mortality rate was 22.86% (16/70), poor prognosis was 34.29% (24/70); non-hypertensive patients with aneurysms postoperative mortality was 7.20% (17/236), and a poor prognosis rate of 13.14% (31/236). Regression coefficient B = -1.027, P = 0.005, odds ratio, OR = 0.358, 0.358 times the rate of non-hypertensive patients hypertensive patients with a good prognosis prognosis is good rate. (3) Fisher grading Ⅰ class II 165 cases, 27 cases of cerebral vasospasm, Fisher grade III and grade IV 141 cases in 56 cases of cerebral vasospasm. B = -1.041, P = 0.004, OR value is 0.353. Fisher grade III Ⅳ level in patients with a good prognosis rate I, II level in patients with a good prognosis rate of 0.353 times. (4) patients with hydrocephalus, B = -1.523, P = 0.001, OR value is 0.218. Hydrocephalus patients with good prognosis rate non-hydrocephalus patients with good prognosis rate of 0.218 times. (5) Hunt-Hess grading Ⅰ ~ Ⅱ grade of 227 cases, Ⅲ grade 68 cases, Ⅳ ~ Ⅴ grade of 11 cases. B = -1.296, P = 0.000, OR value is 0.274. Hunt-Hess grade Ⅳ, Ⅴ level in patients with a good prognosis rate is the the grade Ⅲ patients with good prognosis rate of 0.274 times; Hunt-Hess grade Ⅲ patients with good prognosis I, class II patients with a good prognosis rate of 0.274 times; Hunt-Hess grade IV, grade Ⅴ patients with good prognosis rate I, class II patients with a good prognosis rate of 0.075 times. The early surgical patients between surgery patients: P = 0.002, P <0.017. Early surgery compared to patients with delayed operation: P = 0.025, P> 0.017. The interval surgery patients compared with patients with delayed operation: P = 0.002, P <0.017. Conclusion: The factors affecting the prognosis of intracranial aneurysm surgery complicated which patients age factor is not the risk factors for aneurysm surgical outcomes in patients with hypertension, hydrocephalus and Fisher grade, Hunt-Hess grading are arterial the tumor surgical outcomes in patients with risk factors; Hunt-Hess grade patients with aneurysms of the same level, the effect of early surgery postponed surgery quite the interval surgery worst prognosis.
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