翼点入路手术治疗基底动脉顶端动脉瘤  

Surgical treatment for basilar artery apex aneurysm via pterional approach

作　　者：高成[1] 刘相轸[1] 陈会荣[1] 林成海[1] 李敬文[1] 赵振环[1] 

机构地区：[1]哈尔滨医科大学附属一院神经外科,150001

出　　处：《中华神经外科杂志》2008年第11期845-847,共3页Chinese Journal of Neurosurgery

摘　　要：目的回顾分析基底动脉顶端动脉瘤的手术方法和疗效。方法2002年1月至2006年1月手术治疗基底动脉顶端动脉瘤9例，其中男3例，女6例，年龄29～57岁（平均46．6±8．4岁）。按照Hunt—Hess分级，Ⅰ级2例，Ⅱ级5例，Ⅲ级2例。全部患者采用翼点入路手术，术后复查脑血管造影，随访2个月－4年（平均19个月）。结果完全夹闭6例，不全夹闭1例，包裹2例。全部病人存活，按照GOS预后分级，Ⅴ级5例，Ⅳ级3例，Ⅲ级1例。结论掌握手术技巧，熟悉脚间池的区域显微解剖，对具体病人进行个体化设计，是提高基底动脉顶端动脉瘤手术效果的关键。Objective To review the method and outcome of surgical treatment for basilar artery apex aneurysms. Method Nine patients who suffered basilar artery apex aneurysms were operated from Jan. 2002 to Jan. 2006. Among these patients, 3 was man and 6 was women. The age is from 29 to 57 years and average is 46.6 ± 8.4. Two is grade Ⅰ, 5 is grade Ⅱ and 2 is grade Ⅲ according to the Hunt-Hess grading scale system. All patients were treated via pterional approach and post-operational DSA was done to evaluate the effect of operation. The period of follow-up was from 2 months to 4 years. Results None of the patients died of operation. Six aneurysms were clipped completely and 1 was clipped incompletely, and 2 was wrapping. According to the GOS scale, 5 patients were Ⅴ, 3 was Ⅳ and 1 was Ⅲ. Conclusions Surgical treatment is an important method for the therapy of the basilar artery apex aneurysms. Excellent surgical technique and familiarity with microanatomy of interpeduncular cistern is demanded for obtaining a good outcome.

关 键 词：基底动脉 颅内动脉瘤 外科手术 预后 

分 类 号：R686[医药卫生—骨科学]