老年者嚢状脳動脈瘤の手術

Aneurysm Surgery in the Older Patients

Ⅰ．はじめに

　老年者の脳動脈瘤手術に関する報告^1,2,4）は散見されるが，特に手術手技上の問題につき詳述している報告は見当らない．本稿では，われわれがこれまで経験した70歳以上の手術症例につき検討し，老人における脳動脈瘤の手術手技の要点について報告する．

A series of 9 patients over 70 years of age with saccular aneurysms, operated on by a direct surgery is reviewed in order to discuss the aneurysm surgery in the older patients. The median age of the patients was 74 years, and median interval from the hemorrhage to surgery was 18 days. Operative mortality was 11% and morbidity was 33%.

Result of intracranial aneurysm surgery in the older patients depends on the surgical technique for the arteriosclerosis.