一期手术治疗颅内多发动脉瘤的临床分析  

Treatment of multiple intracranial aneurysms by one-stage microsurgery

作　　者：宋朝理[1] 郑小强[1] 庄进学[1] 陈登奎[1] 程宏炜[1] 薛峰[1] 李海龙[1] 张炜[1] 

机构地区：[1]中国人民解放军第452医院神经外科,成都610000

出　　处：《中国临床神经外科杂志》2014年第3期148-149,152,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨一期手术治疗颅内多发动脉瘤(MIA)的效果。方法回顾性分析我院经一期手术治疗的9例MIA患者的临床资料。结果 9例共19个动脉瘤均成功显微手术夹闭。术后平均随访半年,其中治愈或良好5例,轻残1例,重残2例,死亡1例。结论经充分的术前评估,选择适宜的手术时机,运用熟练的显微手术操作技术,可使一期手术治疗MIA获得满意效果。Objective To explore the opportunity and the skills of microsurgery for multiple intracranial aneurysms （MIA）. Methods The clinical data of 9 patients with 19 aneurysms, who underwent one-stage microsurgery, were analyzed retrospectively. Results All the aneurysms in 9 patients were successfully clipped. The following up for 6 months showed that of 9 patients, 5 were recovered well, 1 mildly disabled, 2 seriously disabled and 1 died. Conclusion The treatment of MIA by one-stage microsurgery is safe and feasible after the full preoperative assessment.

关 键 词：颅内多发性动脉瘤 显微手术 一期治疗 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]