前交通动脉直视显微外科术中破裂的处理(附18例报告)  

MANAGEMENT OF ANTERIOR COMMUNICATING ANEURYSMAL RUPTURE IN DIRECT MICROSURGERY

作　　者：唐渊[1] 陈礼刚 张苓[1] 尹华锦[1] 雷军[1] 李平[1] 董劲虎[1] 李定君[1] 

机构地区：[1]泸州医学院附属医院神经外科,四川泸州646000

出　　处：《泸州医学院学报》2009年第6期585-586,共2页Journal of Luzhou Medical College

摘　　要：目的:探索前交通动脉瘤破裂的原因和应急处理措施。方法:回顾性总结18例前交通动脉瘤术中出血的处理。结果:18例前交通动脉瘤术中破裂,分别动脉瘤夹闭,孤立方法处理动脉瘤。术后GOS评分,良好13例,中残2例,重残2例,死亡1例。结论:前交通动脉瘤出血关键在于对载瘤动脉的控制。充分脑池开放和载瘤动脉的临时阻断可以有效预防与控制术中破裂的动脉瘤。Objective： To explore the management of anterior communicating aneurysmal rupture in microsurgery. Methods： 18 cases of anterior communating aneurysmal rupture were retrospectively analyzed. Results： By the time of being discharged from hospital, in aceordence with the postoperative Glasgow Outcome Scale（GOS）, 13 patients were perfectly recovered, 2 suffered from moderate disability,2 suffered from servere disabitity and 1 was dead. Conclusion： The treatment of anterior communicating aneurysmal rupture lies in the control of its parent artery. Complete opening of cisterns and temporary proximal artery occlusion could prevent the rupture.

关 键 词：前交通动脉瘤 动脉瘤 破裂 显微外科 

分 类 号：R651.11[医药卫生—外科学]