脑动脉瘤术中破裂预防及处理  

Prevention and management of intraoperative rupture of aneurysm

作　　者：黄光富[1,2] 蒋万书[1,2] 袁利民[1,2] 陈勇[1,2] 陈隆益[1,2] 刘卫东[1,2] 冯海龙[1,2] 廖晓灵[1,2] 李自立[1,2] 谭海斌[1,2] 唐建[1,2] 赵冬冬[1,2] 

机构地区：[1]四川省医学科学院,四川成都610072 [2]四川省人民医院,四川成都610072

出　　处：《中华神经医学杂志》2004年第5期346-348,共3页Chinese Journal of Neuromedicine

摘　　要：目的 探讨脑动脉瘤术中破裂原因、预防及处理方法。方法 采用显微神经外科技术治疗122例颅内动脉瘤,动脉瘤夹闭120例,孤立术2例。术中动脉瘤破裂出血16例(占13%),分别发生在麻醉、开颅2例,牵拉脑组织3例,游离、解剖瘤颈粘连8例,上夹3例。结果 治愈106例,轻、中度残废14例,死亡2例。结论 采用显微神经外科技术,积极预防及处理术中动脉瘤破裂,可提高该病手术治疗效果。Objective To discuss the causes, prevention and management of intraoperative aneurysm rupture. Methods 122 patients of intracranial aneurysms were treated by using microsurgery technique, 120 clamped at neck and 2 isolatde by clamping the parent artery, 16 (13%) cases had intraoperative aneurysm rupture during the course of craniotomy (2 cases), brain tissue traction (3 cases), adhesion dissection (8 cases) and clip planting (3 cases). Results Favorable recovery was achieved in 106 cases; 14 cases had mild to moderate disabilities; 2 patients died. Conclusion The prognosis can be improved by skillful microsurgery technique, active prevention and proper management of intraoperative aneurysm rupture.

关 键 词：术中破裂 脑动脉瘤 中动脉 显微神经外科技术 预防 治疗 处理 游离 解剖 粘连 

分 类 号：R739.41[医药卫生—肿瘤] R651[医药卫生—临床医学]