颅内前循环动脉瘤的外科治疗  

SURGLCAL TREATMENT OF INTRACRANICAL ANEURYSMS OF THE ANTERIOR CIRCULATION

作　　者：丁建军[1] 曾伟英[1] 马廉亭 张志刚[1] 李晓群[1] 蔡仲华[1] 

机构地区：[1]广东省中山市人民医院神经外科,中山528403 [2]广州军区武汉陆军总医院神经外科,武汉430062

出　　处：《西安医科大学学报》1999年第4期564-566,共3页Journal of Xi'an Medical University(Chinese)

摘　　要：自 1990年 2月至 1998年 8月 ,共收治颅内前循环动脉瘤 32例 ,15例行血管内栓塞术(其中 1例栓塞失败改作手术治疗 ) ;17例显微镜下直视手术 ,术后死亡 1例。随访 2 8例 ,2 2例恢复良好 ,1例植物生存 ,2例偏瘫 ,2例动眼神经麻痹 ,1例癫痫。对前循环动脉瘤的诊断、治疗方法的选择及手术要点作了讨论。From Feb. 1990 to Aug. 1998,32 cases with intracranial aneurysms of anterior circulation, 15 cases were treated with endovasular embolization (one of them treated by surgery after embolization failed);17 cases were treated with microsurgical operation.One of them died post operation.28 cases were followed up.Results revealed that 22 cases had excellent results,1 case had lived vegetatic life.2 cases presented hemiparesis,2 cases presented oculomotorius neurapraxia (OMNP), and 1 case presented epiliptic seizure.In this paper, the diagnosis, selectivities of treatment methods and the key points to the operation aneurysms of the anterior circulation were discussed.

关 键 词：显微手术 血管内栓塞术 前循环动脉瘤 颅内肿瘤 

分 类 号：R739.410.5[医药卫生—肿瘤] R730.56[医药卫生—临床医学]