经小脑延髓裂夹闭小脑后下动脉远端动脉瘤  

Clipping of the distal posterior inferior cerebellar artery aneurysms through cerebellomedullary fissure

作　　者：苏永永 谢江涛 王世锋 李金正 向毅 武兴兴 吴鹏昌 邓剑平[2] 

机构地区：[1]咸阳市中心医院神经介入科,陕西咸阳712000 [2]第四军医大学唐都医院神经外科,陕西西安710038

出　　处：《中华神经外科疾病研究杂志》2015年第4期320-322,共3页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的探讨经小脑延髓裂入路手术夹闭小脑后下动脉远端动脉瘤的优点及显微手术技巧。方法 23例手术夹闭小脑后下动脉远端动脉瘤均经后颅窝正中开颅,经小脑延髓裂入路,显微镜下夹闭小脑后下动脉远端动脉瘤。结果 23例患者,共33枚动脉瘤,完全夹闭31枚,2枚切除,夹闭率94.9%。无一例手术死亡。结论经小脑延髓裂入路夹闭小脑后下动脉远端动脉瘤,不需切开小脑下蚓部,可有效的清除第四脑室血肿,降低脑压。使血管神经显示更加清楚,不损伤任何小脑组织,能最大限度地减少牵拉血管及神经组织,减少动脉瘤的术中破裂,使手术更安全。术后患者不良反应小。Objective The advantages of clipping the distal posterior inferior cerebellar artery aneurysms via cerebellomedullary fissure approach and the microsurgical skills are discussed.Methods A total of 23 cases of the distal posterior inferior cerebellar artery aneurysms were clipped through cerebellomedullary fissure under the microscope.Results Among 23 cases with 33 aneurysms, 31 were totally clipped and 2 were removed, with a clipping rate of 94.9%.No operative mortality occurred.Conclusion Clipping through cerebellomedullary fissure approach can remove the hemotoma of the fourth ventricle hematoma, reduce the intracranial pressure, protect cerebellum from damage, reduce the extract of the vessels and nervous tissues to a minimum extent and the rupture of aneurysms, so the safety of surgery is improved.

关 键 词：小脑延髓裂入路 手术夹闭 小脑后下动脉远端动脉瘤 

分 类 号：R651.12[医药卫生—外科学]