神经内镜辅助下显微手术治疗颅内前交通动脉动脉瘤33例分析  

Analysis of 33 cases underwent neural endoscope-assisted microsurgery for anterior communicating aartery aneurysms

作　　者：蒋霖[1] 高广忠[1] 刘泽昊[1] 鲁峻[1] 周焱峰[1] 张永海[1] 

机构地区：[1]泰州市人民医院神经外科,江苏省225300

出　　处：《江苏医药》2015年第9期1044-1046,F0002,共4页Jiangsu Medical Journal

摘　　要：目的探讨内镜辅助夹闭颅内前交通动脉动脉瘤的临床价值。方法回顾性分析前交通动脉动脉瘤破裂的33例患者的临床资料。均在全脑血管造影、头颅CTA检查后行内镜辅助下显微手术夹闭动脉瘤。结果动脉瘤夹闭术均获得成功。无瘤颈夹闭不全,无误夹穿通支血管。术中动脉瘤再破裂1例。25例恢复良好,重残4例,中残3例,术后死亡1例。结论颅内前交通动脉动脉瘤夹闭术中引入神经内镜能更好的对动脉瘤的形态、结构进行辨认,评估双侧颈内、大脑前动脉及前交通动脉,提高手术的夹闭成功率,减轻对正常神经组织的牵拉损伤。Objective To explore the clinical value of neural endoscope-assisted anterior communicating artery aneurysm clipping. Methods Data of 33 patients with broken anterior communicating artery aneurysms were retrospectively analyzed, who underwent neural endoscope- assisted microsurgery for anterior communicating aartery aneurysms after CTA and DSA examination. Results The aneurysms were clipped successfully with complete clipping of aneurysm neck and without mistakenly clipping of the blood vessels through the aneurysms in all cases. Aneurysm rupture occurred intraoperatively in one case. Of 33 cases, 25 cases recovered well, 4 cases were with severe disability, 3 cases with moderate disability and one case died after operation. Conclusion Anterior communicating artery aneurysm clipping assisted by endoscopy can he better to identify aneurysm morphology and structure, evaluate bilateral ICA, ACA and ACoA, improve the outcomes of aneurysm clipping, and reduce mistakenly injury of normal neural tissues.

关 键 词：颅内前交通动脉动脉瘤 神经内镜 显微手术 

分 类 号：R651[医药卫生—外科学]