显微手术治疗颅内动脉瘤38例临床分析  

Clinical analysis of 38 cases of treatment for intracranial aneurysm by microsurgery

作　　者：朱盛[1] 王东华[1] 黄文强[1] 周亮[1] 

机构地区：[1]四川省大竹县人民医院神经外科,四川大竹635100

出　　处：《现代预防医学》2013年第8期1581-1582,共2页Modern Preventive Medicine

摘　　要：目的探讨颅内动脉瘤的诊断、显微手术治疗颅内动脉瘤的技巧。方法回顾性分析显微手术治疗38例(41个)颅内动脉瘤患者,术前均进行头颅CTA检查,采取改良翼点入路显微镜下夹闭治疗动脉瘤。结果 CTA对动脉瘤诊断与术中符合率为100%;预后方面,恢复良好18例,轻度残疾10例,中度残疾5例,重度残疾2例,死亡3例。结论 CTA技术在颅内动脉瘤诊断中准确可靠,应用价值较大;改良翼点入路在处理前循环颅内动脉瘤时,手术视野能得到良好显露;熟练应用显微外科技术是手术成功的关键。OBJECTIVE To explore the diagnosis of intracranial aneurysms, microsurgical operation for treatment of intracra- nial aneurysm. METHODS The clinical data of 38 cases of intracranial aneurysms from July, 2007 to January, 2012 were analyzed retrospectively, the patients were confirmed by receiving the computed tomography angiography （CTA）, the transpterional approach was introduced in the craniotomy to protect the temporalis. RESULTS The coincidence rate of CTA and intraoperatire diagnosis for aneurysms was 100%. 18 cases recovered with normal life and work, 10 cases recovered with mild nervous system symptoms, 5 cases recovered with Moderate nervous system symptoms, 2 cases recovered with serious neurological symptoms, and 3 case died. CONCLUSION CTA technique in the diagnosis of intraeranial aneurysm is accurate, reliable, with great application value; The improved pterional approach in the treatment of anterior circulation intracranial aneurysms, the operative field can be well revealed ; the skilled application of mierosurgieal technique, is the key to successful operation.

关 键 词：颅内动脉瘤 显微手术 治疗 CTA 

分 类 号：R739.41[医药卫生—肿瘤]