一期双侧开颅手术治疗多发性颅内动脉瘤  

Treatment of multiple intracranial aneurysms by bilateral craniotomy at one-stage

作　　者：迁荣军[1] 赵洪洋[1] 张方成[1] 林洪[1] 朱贤立[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院神经外科,武汉430022

出　　处：《中国临床神经外科杂志》2011年第6期321-323,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨多发性颅内动脉瘤(MIA)的一期双侧开颅手术治疗及其疗效。方法采用冠状切口一期双侧开颅手术治疗MIA患者23例,共48个动脉瘤,其中夹闭动脉瘤45个,包裹动脉瘤3个。结果术后复查DSA或CT血管造影均示动脉瘤夹闭满意。术后肢体偏瘫5例,脑脊水6例,均经治疗后好转。术后随访5月～5年,患者恢复良好20例,中残3例;本组无死亡病例,无动脉瘤复发。结论对于需双侧开颅才能完全处理的MIA,术前经充分评估后,采用一期双侧开颅手术是安全有效的。Objective To study the operative method to treat multiple intracranial aneurysms and curative effect of the surgery on them.Methods Twenty-three patients with multiple intracranial aneurysms who had 48 aneurysms were treated by bilateral craniotomy with coronary scalp incision at one-stage.Of 48 aneurysms,45 were successfully clipped and 3 were wrapped.Results Of 23 patients,20 were recovered well and 3 were moderately disabled.No patients died.Conclusions The bilateral craniotomy at one-stage were safe and effective after the disease condition and operation were preoperatively evaluated fully in the patients with multiple intracranial aneurysms who need to be treated by craniotomy.

关 键 词：多发性颅内动脉瘤 双侧开颅 一期手术 疗效 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]