开颅手术夹闭治疗47例颅内破裂动脉瘤体会  

Experience of Surgical Clipping for Treatment of 47 Cases with Ruptured Intracranial Aneurysm

作　　者：张明[1] 赵宁辉[1] 曹毅[1] 曹霞[1] 徐蔚[1] 方绍龙[1] 

机构地区：[1]昆明医科大学第二附属医院神经外科,云南昆明650101

出　　处：《昆明医科大学学报》2013年第6期57-59,共3页Journal of Kunming Medical University

基　　金：云南省卫生厅卫生系统学科带头人基金资助项目(D-201221)

摘　　要：目的评价开颅手术夹闭治疗颅内破裂动脉瘤效果.方法 47例蛛网膜下腔出血或脑出血患者均经头颅CTA及全脑血管造影证实为颅内动脉瘤破裂,均位于前循环.34例行急诊开颅夹闭术,13例择期行开颅夹闭术,所有患者均行翼点入路.结果 43例手术后复查CTA显示动脉瘤完全夹闭且无明显神经功能缺损,3例面神经额支损伤,2例一侧肢体不全瘫,治愈率达到91.4%.结论开颅手术夹闭治疗颅内破裂动脉瘤是一种疗效可靠、安全性较高的方法,值得在临床推广应用.Objective To assess the effects of aneurysm. Methods Forty-seven patients with ruptured surgical clipping for patients with ruptured intracranial intraeranial aneurysm were confirmed SAH and cerebral hemorrhage by CTA or cerebral angiography, with all aneurysms located in the anterior circulation. 34 patients underwent emergency craniotomy clipping surgery, 13 patients underwent elective emergency eraniotomy clipping operation, and all patients underwent pterional. Results Forty-three eases of post-operative patients＇ CTA displayed aneurysm completely clipped and no obvious neurological deficit, 3 patients appeared facial nerve frontal branch injury, and 2 eases had limb incomplete paralysis, with the cure rate of 91.4%. Gonclusion Craniotomy clipping is an effective and reliable method for the ruptured intraeranial aneurysms, and it is worth to be recommended and applied in clinical.

关 键 词：手术 夹闭 破裂动脉瘤 

分 类 号：R651.12[医药卫生—外科学]