特殊类型颅内动脉瘤的诊断与治疗(附19例报告)  

DIAGNOSIS AND TREATMENT OF THE SPECIAL TYPE OF ANEURYSMS

作　　者：朱树干[1] 张良文[1] 刘玉光[1] 焦力群[1] 吴承远[1] 鲍修风[1] 

机构地区：[1]山东大学齐鲁医院神经外科

出　　处：《山东医科大学学报》2001年第3期239-240,243,共3页Acta Academiae Medicinae Shandong

摘　　要：目的 :探讨特殊类型颅内动脉瘤的诊断与治疗。方法 :结合文献对 7种特殊类型颅内动脉瘤的临床特点及治疗方法进行回顾性分析。其中脑动静脉畸形伴动脉瘤 10例 ,巨大型动脉瘤及并血栓形成或钙化 6例 ,非损伤性脑膜中动脉动脉瘤、伴两条供血迷行动脉动脉瘤、多发性动脉瘤各 1例。结果 :1例行栓塞术 ,余者开颅行动脉瘤夹闭、切除或包裹术 ,所伴AVM一并切除 ,均取得了良好的治疗效果。结论 :①术前需行全脑血管造影以明确诊断 ,脑膜中动脉动脉瘤尚需颈外动脉造影 ;②手术夹闭或切除为最佳选择 ,最好一次手术处理AVM及所伴动脉瘤或两侧多发动脉瘤 。Objective:To study more about the diagnosis and treatment of the special type of aneurysms.Methods:Retrospective analysis had been made of 19 patients with reviewing literature,intracranial arteriovenous malformations associated with intracranial aneurysm 10 cases,giant intracranial aneurysm 6 cases,of which some were completely thrombotic or calcified,nontraumatic aneurysm of the middle meningeal artery and aneurysm with two aberrant arteries and bialateral aneurysm 1 case respectively.Results:All were operated with clippling or resection or wrapping except embolization of 1 case,the associated AVM resected simultaneously.Outcome were considered good in 17 cases,the other two with postoperative hemiplegia and hemianopia respectively,without mortality.Conclusion:The cerebral angiography is most important to the diagnosis of a neurysm,but the angiography of external carotid is necessary to aneurysm of the middle meningeal artery.Clipping or resection is the best choice for the treatment of aneurysm,if possible,You′d better treat both or multiple lesions in a single operation,complete occlusion of the aberrant artery is vital.

关 键 词：脑动脉瘤 脑动静脉畸形 治疗 诊断 

分 类 号：R739.4[医药卫生—肿瘤]