显微外科手术治疗破裂前循环脑动脉瘤的临床研究  

Microsurgery for Ruptured Intracranial Aneurysms in Anterior Circulation

作　　者：杨江河[1] 刘绍明[1] 李华[1] 修彬华[1] 郑刚[1] 依力哈木[1] 

机构地区：[1]兰州军区乌鲁木齐总医院神经外科,新疆乌鲁木齐830000

出　　处：《现代生物医学进展》2010年第19期3685-3687,共3页Progress in Modern Biomedicine

摘　　要：目的:旨在进一步提高手术治疗破裂的前循环脑动脉瘤的效果。方法:回顾性分析显微手术治疗的56例破裂前循环脑动脉瘤患者的临床资料。结果:56例病人,共61个脑动脉瘤,其中45枚行动脉瘤颈夹闭,6枚夹闭瘤颈后切除瘤体,另10枚动脉瘤予以瘤壁包裹加固术。术后第3天发生血管闭塞1例,遗留肢体偏瘫。25例随访1个月～5年,恢复良好17例,中残或重残2例,死亡2例。结论:显微手术治疗破裂的脑动脉瘤,不仅有效地防止再出血,而且有利于脑血管痉挛的防治。术后扩充血容量,提升血压,扩张血管对防治脑血管痉挛具有相当好的疗效。Objective： To improve curative effects of microsurgery on the ruptured intracranial aneurysms in the anterior circulation. Methods： Clinical data of 56 patients with ruptured intracranial aneurysms in the anterior circulation, who underwent microsurgery after the rupture, were analyzed retrospectively. Results： There were 61 aneurysms in 56 patients. Of 61 aneurysms, 45 were treated by clipping the neck of aneurysms,6 by resection of aneurysmal body after clipping the neck, and 10 by wrapping. There were hemiplegia in 1 patient because vascular occlusion after the operation 3 day. The following up for 1 month to 5 years showed that of 25 patients,17 were recovered well,2 mildly and severely disabled, 2 dead. Conclusions： The rerupture of aneurysms may be prevented by microsurgery after the rupture which is helpful to preventing and treating cerebraovsascular spasms, in the patients with ruptured intracranial aneurysms in the anterior circulation. Expanding blood volume, elevating blood pressure, dilating vessel with drugs have good effects on cerebrovascular spasms.

关 键 词：显微手术 脑动脉瘤 破裂 

分 类 号：R739.4[医药卫生—肿瘤]