显微手术治疗前交通动脉瘤60例  

Microsurgery for the Treatment of 60 Cases of Anterior Communicating Aneurysms

作　　者：向健威[1] 卢明[1] 王连元[1] 彭立辉[1] 石磊[1] 滕晓华[1] 

机构地区：[1]解放军163医院神经外科,湖南长沙410003

出　　处：《医学临床研究》2012年第1期5-7,共3页Journal of Clinical Research

基　　金：[基金项目]中国博士后科学基金（20070420941）

摘　　要：[目的]探讨前交通动脉瘤显微手术治疗的手术方案.[方法]回顾性分析显微手术治疗的60例前交通动脉瘤临床资料.[结果]1例术前Hunt-Hess分级为Ⅴ级的患者死亡,余患者出院前GOS（Glasgow Outcome Scale）评分5分30例,4分21例,3分6例,2分2例.本组病例随访3～36个月,均无再次出血.25例患者均复查CTA,未见动脉瘤残留或复发.[结论]翼点入路显微镜下夹闭动脉瘤是治疗前交通动脉瘤的有效手段.[Objective]To explore the microsurgery for the treatment of anterior communicating aneurysm. [Methods] The clinical data of 60 cases of anterior communicating aneurysms undergoing microsurgery were analyzed retrospectively, [Results]One patient with grade V（Hunt-Hess Scale） died. According to Glasgow Outcome Scale, 30 patients got 5 points, 21 patients got 4 points, 6 patients got 3 points and 3 patients got 2 points before discharged from the hospital. All patients were followed up for 3~36 months. No re-bleeding occurred. No residual aneurysm or recurrence was found by CTA reexamination of 25 patients. [Conclusion]The occlusion of aneurysm via pterion ap- proach under microscope is an effective method for the treatment of anterior communicating aneurysm.

关 键 词：脑动脉瘤/外科学 显微外科手术 

分 类 号：R654.3[医药卫生—外科学]