颅内动脉瘤的手术治疗(附33例报告)  

SURGICAL TREATMENT OF INTRACRANIAL ANEURYSM WITH 33 CASES

作　　者：衡雪原[1] 费昶[1] 刘焕亭[1] 于建军[1] 

机构地区：[1]临沂市人民医院,临沂276003

出　　处：《临沂医学专科学校学报》1998年第1期25-27,共3页Journal of Linyi Medical College

摘　　要：手术治疗颅内动脉瘤33例。方法29例行瘤颈夹闭术，3例行失闭后动脉瘤切除术，1例行动脉瘤孤立术。19例后交通动脉瘤中，7例采用低颞瓣开颅经颞叶沿蝶骨嵴入路，12例采用额颞翼点入路。9例前交通动脉瘤中，3例采用双额瓣经纵裂入路，6例行血供明显例经翼卢、入路。5例大脑中动脉瘤采用额颞翼点入路。结果治愈23例，好转6例，无效2例，死亡2例。随访22例（1～15年），12例能正常工作；2例生活能自理；1例卧床，生活不能自理；7例死亡。结论手术成功与否与手术时机的选择，手术入路的改进密切相关。Objective Surgical treatment of 33 cases of intracranial aneurysm were reported in this literature. Methods Twenty-- nine cases of cerebral aneurysm received neckclosing procedures. Seven of 19 cases of posterior communicating aneurysm were treatedby opening lower temporal flap to sphenoid crista and the others by frontotemproal pterion approach. Three of 9 cases of anterior communicating aneurysm were treated by longitudinal fissure, and the others by the good blood supply side through pterion approach. Frontotemporal approach was applied to 5 cases of cerebral midia artery aneurysrn. Results Twenty -- three cases were cured, 6 got better, 2 still kept symptomsand 2 died. TwentyAltwo cases were followed up from 1 month to 15 years. Twelve caseso f them recovered, 2 could take care of themselves, 1 could not look after himself and 7died. Conclusion The success in operations had a very cose relation to the optimal time ofoperation and to the improvement of surgical approaches.

关 键 词：颅内动脉瘤 外科手术 治疗 

分 类 号：R739.410.5[医药卫生—肿瘤] R651.11[医药卫生—临床医学]