脑前循环动脉瘤破裂早期的显微外科手术治疗  

Early microsurgery for ruptured cerebral anterior circulating aneurysm

作　　者：廖兴胜[1] 肖绍文[1] 张超元[1] 罗昱[1] 周全[1] 阮玉山[1] 余良[1] 

机构地区：[1]广西医科大学第一附属医院神经外科,南宁530021

出　　处：《中华神经医学杂志》2010年第10期978-980,共3页Chinese Journal of Neuromedicine

基　　金：广西医疗卫生重点科研课题（广卫重：200828）

摘　　要：目的 评价脑前循环动脉瘤破裂早期显微外科手术治疗的效果。方法回顾性分析自2007年1月至2009年6月51例脑前循环动脉瘤破裂致急性自发性蛛网膜下腔出血患者诊治过程。所有患者均应用显微神经外科技术在早期（3d之内）进行手术治疗，术后神经功能评价采用GOS评分量表。结果51个动脉瘤显微手术夹闭47个，包裹4个。患者恢复良好39例：中度病残，但生活自理4例；重度病残，生活不能自理3例；植物生存3例；死亡3例。结论早期显微手术是治疗脑前循环破裂动脉瘤的有效手段，能减少再出血，降低死亡率和致残率。Objective To evaluate the clinical effect of early microsurgery for ruptured cerebral anterior circulating aneurysm. Methods Diagnosis and treatment processes of 51 patients were retrospectively analyzed： these patients were presented with anterior circulating aneurysm induced acute spontaneous subarachnoid hemorrhage and they underwent early （within 3 d） microsurgical clipping in our hospital between January 2007 and June 2009. Glasgow outcome scale （GOS） was conducted to evaluate the outcomes. Results Of the 51 patients with anterior circulating aneurysm, 47 intracranial aneurysm lesions were clipped successfully, and 4 were wrapped. Good outcome was achieved in 39 patients, mild disability （being able to look after themselves in daily life） in 4, and severe disability in 3; persistent vegetative state appeared in 3 and 3 died after the surgery. Conclusion Early microsurgery for ruptured cerebral anterior circulating aneurysm is considered as the feasible opinion, by decreasing the recurrence of hemorrhage, disabled rate and mortality.

关 键 词：颅内动脉瘤 动脉瘤 破裂 神经外科手术 

分 类 号：R686[医药卫生—骨科学]