外科治疗破裂前交通动脉瘤97例  

Surgical treatment for 97 ruptured anterior communicating aneurysms cases

作　　者：李小辉[1] 黄戈[1] 冯正健[1] 吴宇红[2] 伍益[1] 李智斌[1] 古机泳[1] 

机构地区：[1]江门市中心医院神经外科,529030 [2]江门市中心医院心血管内科,529030

出　　处：《中国现代药物应用》2015年第11期15-17,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨外科治疗破裂前交通动脉瘤的临床经验及疗效。方法回顾性分析97例破裂前交通动脉瘤患者的临床资料并进行随访。结果显微手术夹闭动脉瘤13例,术后患者痊愈或恢复良好8例,偏瘫2例,植物生存1例,死亡2例。介入栓塞治疗84例,术中动脉瘤破裂死亡1例,100%栓塞者73例,95%栓塞5例,90%栓塞5例;术后脑梗死5例,死亡1例。术后随访复发1例。结论通过开颅夹闭或血管内介入栓塞治疗破裂前交通动脉瘤能够达到良好的治疗效果。Objective To investigate the clinical experience and curative effect of surgical treatment for ruptured anterior communicating aneurysms. Methods A retrospective analysis was made on the clinical data of 97 ruptured anterior communicating aneurysms patients, and they received follow-up. Results There were 13 cases receiving microsurgical aneurysm clipping surgery, and 8 cases of them with postoperative recovery or good rehabilitation, 2 cases with hemiplegia, 1 case with persistent vegetative survive, and 2 death cases. There were 84 cases receiving interventional embolization treatment, with 1 death case due to intraoperative ruptured aneurysms. There were 73 cases with 100%embolization, 5 cases with 95%embolization, 5 cases with 90%embolization, 5 cases with postoperative cerebral infarction, and 1 death case. Postoperative follow-up showed 1 recurrent case. Conclusion Craniotomy clipping or intravascular interventional embolization can provide good effect in treating ruptured anterior communicating aneurysms.

关 键 词：外科 前交通动脉瘤 临床疗效 

分 类 号：R739.41[医药卫生—肿瘤]