KẾT QUẢ VI PHẪU KẸP TÚI PHÌNH ĐỘNG MẠCH NÃO GIỮA VỠ TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: To evaluate the outcomes of microsurgical clipping for ruptured middle cerebral artery aneurysms at Military Hospital 103 from October 2023 to October 2024. Methods: A retrospective cross-sectional study was conducted on patients with ruptured middle cerebral artery aneurysms who underwent microsurgical clipping between October 2023 and October 2024. Results: The mean age was 50.48 ± 14.01 years, with the 40–59 year-old group accounting for 52.2%. The male-to-female ratio was 1:1.5. The most common initial symptom was severe headache (82.6%). According to the Hunt–Hess scale, grades III–IV accounted for 43.4% of cases. A total of 65.2% of patients achieved a favorable outcome (mRS 0–2) at discharge, and 69.6% at 6 months postoperatively. Cerebral ischemia was the most common postoperative complication (21.7%). The majority of procedures utilized the classic pterional approach (65.2%). Conclusion: Microsurgical clipping remains a safe and effective treatment for ruptured middle cerebral artery aneurysms, yielding favorable clinical outcomes.