经翼点入路显微手术治疗前交通动脉瘤的疗效观察  

Microsurgical Efficacy by PterionalApproach inAnterior Communicating Aneurysms

作　　者：胡威[1] 李劲松[1] 刘光普[1] 

机构地区：[1]广东省梅州市人民医院神经外科2科,梅州514031

出　　处：《中国医药导刊》2013年第8期1358-1359,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨前交通动脉瘤采用经翼点入路显微手术治疗的时机、治疗要点及临床疗效。方法：对37例经脑血管造影确诊为前交通动脉瘤的患者均进行经翼点入路、显微镜直视下夹闭手术。结果：37例患者术中均成功夹闭前交通动脉瘤颈。出院时恢复良好31例,占83.8%;中度、重度残疾各2例,分别占5.4%;死亡2例,占5.4%。幸存的35例患者术后随访8~12个月,5例出现一定程度脑积水,30例定期复查脑血管造影检查,无1例动脉瘤复发或破裂出血。结论：经翼点入路显微手术术中视野开阔,配以娴熟显微操作技术,可获得良好疗效。Objective： To explore the timing,treatment points and clinical efficacy microsurgical treatment by pterional approach in anterior communicating aneurysms.Methods： 37 patients with anterior communicating aneurysms diagnosed by cerebral angiography were carried out pterional microscope clipping surgery under direct vision.Results： 37 patients were successfully occluded the anterior communicating aneurysm neck.31 cases recoveried very well when discharged from hospital,accounting for 83.8%.There were 2 cases with moderate and severe disability,respectively,accounting for 5.4%.2 patients died,accounting for 5.4%.The surviving 35 patients were followed up for 8 to 12 months,five cases had hydrocephalus at a certain degree.Cerebral angiography were carried out periodic review in 30 cases,no cases had aneurysm recurrence or bleeding.Conclusion： Microsurgery by pterional approach in anterior communicating aneurysms has wide visual field,together with the skilled micromanipulation technique,good effect can be obtained.

关 键 词：前交通动脉瘤 翼点入路 显微手术 

分 类 号：R651.12[医药卫生—外科学]