Cerebral Aneurysm Management: Surgical Clipping Outcomes at Ratchaburi Hospital
Keywords:
subarachnoid hemorrhage, cerebral aneurysm, clipping surgery, Glasgow Outcome ScaleAbstract
Objective: The aim was to study the treatment outcomes, predictive factors for treatment outcomes, and complications in patients with cerebral aneurysms treated with clipping surgery at Ratchaburi Hospital.
Methods: This retrospective descriptive study involved collecting data from medical records of patients who underwent clipping surgery at Ratchaburi Hospital between August 1, 2014, and July 31, 2024. The data included demographic characteristics, pre and postoperative symptoms, and outcomes assessed using the WFNS (World Federation of Neurosurgical Societies) scale and the GOS (Glasgow Outcome Scale).
Results: Among 269 patients, a favorable outcome (GOS 4–5) was observed in 75.4% of patients. Mortality rate was 7%. Treatment outcomes between favorable and
unfavorable outcomes were significantly associated with the preoperative level of consciousness. The most complications were hemiparesis/hemiplegia and cerebral infarction.
Conclusion: Clipping surgery is an effective and safe treatment method for patients with cerebral aneurysms. Treatment outcomes are primarily influenced by preoperative conditions. However, various related factors should be considered when selecting the treatment approach to achieve the best outcomes for individual patients.
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กิตติ สุวรรณประทีป. ผลการรักษาโรคหลอดเลือดสมองโป่งพองโดยวิธีผ่าตัดในโรงพยาบาลราชบุรี. วารสารแพทย์เขต 6–7 2548;24(3):257–65.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
