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首页> 外文期刊>British journal of neurosurgery >Surgical indications for arteriovenous malformations in patients over the age of 60 years: retrospective analysis of 33 patients.
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Surgical indications for arteriovenous malformations in patients over the age of 60 years: retrospective analysis of 33 patients.

机译:60岁以上患者动静脉畸形的手术适应症:33例患者的回顾性分析。

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摘要

This retrospective study investigated the surgical indications in 33 patients aged > 60 years with brain arteriovenous malformation (AVM) taken from a group of 294 cases between 1981 and 2004. These 33 patients were further classified to two age groups: 60 - 64 years (A group) and > or = 65 years (B group). The overall haemorrhagic rate at initial presentation was 46.6% in the 294 patients. The rate was 48.5% in patients aged > 60 years, and 72.2 and 20% in the A and B groups, respectively. In three of four cases with extremely poor outcome with modified Rankin Scale 5 and 6, the cause of poor outcome was haemorrhage in those aged > 65 years. Because of the high haemorrhagic rate and poor outcome after haemorrhage, surgical treatment is indicated for patients aged > 60 years.
机译:这项回顾性研究调查了1981年至2004年间从294例患者中选出的33例> 60岁的脑动静脉畸形(AVM)的手术指征。这33例患者进一步分为两个年龄段:60-64岁(A组)和>或= 65岁(B组)。初诊时的总体出血率为294例,为46.6%。年龄> 60岁的患者的比率为48.5%,A和B组的比率分别为72.2和20%。在改良的兰金评分表5和6中,四分之三的预后极差的情况下,预后不良的原因是大于65岁的患者出现出血。由于出血率高且出血后预后差,因此建议对> 60岁的患者进行手术治疗。

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