神经内窥镜辅助下锁孔入路显微手术治疗颅内动脉瘤  

Keyhole Approach Microsurgery Assisted by Neuroendoscopy in Treatment of Intracranial Aneurysm

作　　者：冼克聪[1,2] 

机构地区：[1]广西医科大学第八附属医院神经外科 [2]广西贵港市人民医院,广西贵港537100

出　　处：《中国误诊学杂志》2010年第25期6057-6058,共2页Chinese Journal of Misdiagnostics

摘　　要：目的探讨神经内镜辅助锁孔手术治疗颅内动脉瘤的疗效。方法对28例颅内动脉瘤患者应用神经内窥镜辅助锁孔入路手进行颅内动脉瘤夹闭术。根据颅内动脉瘤所在位置,选择经翼点锁孔入路,进行显微手术。结果 28例患者均顺利实施手术,对瘤颈均做了良好夹闭,3例术中动脉瘤破裂,无手术死亡病例。患者术前症状与体征基本减轻或消失,无一例发生与手术入路有关的并发症。GOS评分:5分17例(68.4%),4分6例(17.1%),3分5例(9.8%)。术后患者GCS评分为(12.8±1.2)分,与术前的(10.1±2.0)分比较,差异有统计学意义(P<0.05)。结论神经内窥镜辅助锁孔入路显微手术,可充分暴露动脉瘤及其周围结构,减少神经结构及穿支血管的损伤,明显提高颅内动脉瘤的手术效果,值得临床推广。Objective To explore the effects of keyhole approach microsurgery assisted by neuroendoscopy in treatment of intracranial aneurysm.Methods 28 patients with intracranial aneurysm were underwent the clipping of intracranial aneurysm by keyhole approach microsurgery assisted by neuroendoscopy.Results 28 patients were enforced the operation successfully.Among them,3 cases came about the aneurysm rupture in operation,but no case died.Symptoms signs of the patients before operation decreased or relieved basically.The complications related with the operative approach were not happened.GOS grade：17 cases of them were 5（68.4%）,6 of them were 4（17.1%）,5 of them were 3（9.8%）.The GCS grade of them after operation was 12.8±1.2.There was a statistical difference（P0.05） compared with preoperation（10.1±2.0）.Conclusion Keyhole approach microsurgery assisted by neuroendoscopy can expose the surgical freedom in order to decrease the injury of neuromechanism and perforating arteries,and improve the surgical effects obviously.

关 键 词：颅内动脉瘤/外科学 内窥镜检查 显微外科手术 

分 类 号：R743.05[医药卫生—神经病学与精神病学]