神经导航在夹闭大脑前动脉远端动脉瘤手术中的应用  

Application of neuronavigation in the surgery for distal anterior cerebral aneurysm

作　　者：张挺[1,2] 李昉晔[1] 郑刚[1] 李晋江[1] 胡深[1] 孙正辉[1] 许百男[1] 

机构地区：[1]解放军总医院神经外科,北京100853 [2]解放军第二炮兵总医院神经外科,北京100088

出　　处：《中日友好医院学报》2013年第2期79-81,F0004,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的：评价神经导航系统在大脑前动脉远端动脉瘤夹闭术中的作用。方法：2010年5月～2011年11月间，我科在神经导航系统辅助下夹闭大脑前动脉远端动脉瘤4例，其中动脉瘤位于A2段者2例，位于A3段者2例。结果：导航的精度为0．6－2．0mm（平均1．3mm），4例动脉瘤均成功定位，未出现术中动脉瘤破裂，动脉瘤均成功夹闭，未出见手术并发症。患者术后均恢复良好。结论：大脑前动脉远端动脉瘤是使用神经导航系统的适应证，可减少手术创伤、提高手术成功率、降低并发症的发生。Objective：To evaluate the role of the neuronavigation system in the surgery of distal anterior cerebral artery（DACA）aneurysms.Methods：Four patients with DACA aneurysm were treated with direct clipping asisted by the neuronavigation system from May 2010 to November 2011 in the hospital.Aneurysms were located at A2 in 2 patients,at A3 in 2 patients.Results：The registration accuracy ranged from 0.6mm to 2.0mm （mean 1.3mm）,all the aneurysms were located and eliped sucessfully,no intraopertive rupture happened,no surgical complications developed, and all 4 patients had a good recovery after surgery.Conclusion：The DACA aneurysm is a good indication for neuronavigation,which could lessen the surgical trauma,improve the successful rate of operation and reduce the surgical complication rate.

关 键 词：神经导航 大脑前动脉远端动脉瘤 

分 类 号：R651.1[医药卫生—外科学]