前交通动脉瘤的显微手术入路选择  

The Choice of Microsurgical Approach for Anterior Communicating Artery Aneurysm

作　　者：崔鹏[1] 魏辉[2] 廉治刚[1] 赵永顺[1] 

机构地区：[1]大连医科大学附属第一医院,辽宁大连116011 [2]大连市第三人民医院,辽宁大连116033

出　　处：《医学与哲学（B）》2015年第5期29-31,共3页Medicine & Philosophy(B)

摘　　要：探讨前交通动脉瘤显微手术入路选择及疗效。通过3种不同手术入路显微手术夹闭前交通动脉瘤52例,其中经翼点入路29例,经纵裂间入路15例,经眶上锁孔入路8例。回顾性分析患者资料、手术入路及疗效。结果 52例均成功夹闭。术后经CTA复查,50例夹闭完全可靠,2例有瘤颈残留,所有载瘤动脉均保持通畅。手术效果按GOS评分:恢复良好40例,中度残疾7例,重度残疾3例,死亡2例。可见显微手术是治疗前交通动脉瘤的有效方法,选择恰当的手术入路是手术成功的基础。To explore the microsurgical approach and curative effect in patients with anterior communicating artery （ACoA） aneurysm .A total of 52 patients with ACoA aneurysm were treated by clipping ,including 29 through peritoneal approach , 15 through interhemispheric approach ,8 through keyhole approach ,the clinical data ,approach and curative effect were analyzed retrospectively .All aneurysms were clipped successfully .The CTA after operation showed that in 50 cases the aneurysms were clipped completely ,while 2 cases had residual neck ,all the feeding arteries kept potent .According to GOS ,40 cases had good recovery ,7 cases had moderate disability ,3 cases had severe disability and 2 cases died .Microsurgy is a effective method to cure ACoA aneurysm ,the proper choice of microsurgical approach id the base of successful microsurgy .

关 键 词：前交通动脉瘤 显微手术入路 翼点入路 纵裂间入路 锁孔入路 

分 类 号：R743.4[医药卫生—神经病学与精神病学]