动脉瘤夹闭术中辅助应用吲哚菁绿荧光造影的临床研究  

Clinical research on indocyanine green assisted in aneurysm clipping surgery

作　　者：张翔[1] 楼美清[1] 陈先震 沈照立[1] 

机构地区：[1]同济大学附属第十人民医院神经外科,上海200072

出　　处：《临床神经外科杂志》2011年第5期261-263,共3页Journal of Clinical Neurosurgery

摘　　要：目的探讨动脉瘤夹闭术中辅助应用吲哚菁绿荧光造影(ICG)对手术的影响。方法回顾分析动脉瘤夹闭术中辅助应用吲哚菁绿荧光造影及无造影辅助的共40例脑动脉瘤病例,比较两组患者术后脑缺血的发生率、预后情况以及术中造影对手术策略的影响。结果 20例术中辅助应用吲哚菁绿荧光造影的患者术后GOS分级显著高于非造影组,术后脑缺血的发生率亦明显低于后者,同时对部分动脉瘤夹闭的术中策略调整起到了积极影响。结论术中辅助应用吲哚菁绿荧光造影具有实时、精细、可重复、安全性高等特点,是提高动脉瘤夹闭术成功率及改善手术效果的有效方法。Objective To explore the influence of indocyanine green （ICG） angiography assisted in intracranial aneurysm clipping surgery. Methods The clinical data of 40 patients with cerebral aneurysm involving ICG assisted in aneurysm clipping surgery or not, were analyzed retrospectively. The incidence of cerebral isehemia, prognosis as well as ICG＇ s influence on the operative strategy were compared during the two groups. Result The ICG group （20 cases） has significantly higher COS scores as well as lower incidence of cerebral ischemia after surgery than the non-ICG group. And the use of ICG during surgery presented positive impact on the adjustment of operative strategy in some aneurysm surgery cases. Conclusion The ICG assisted in aneurysm surgery has characteristic of a real-time, intimate, repeatable, and safe method, which can increase the success rate of aneurysm clipping surgery and improve the operative effect.

关 键 词：脑动脉瘤 吲哚菁绿 术中血管造影术 

分 类 号：R651.1[医药卫生—外科学]