显微外科手术治疗颅内动脉瘤的疗效  

Efficacy of microsurgical operation in the treatment of intracranial aneurysms

作　　者：王波[1] 汪平[1] 王宏[1] 樊鑫欣 

机构地区：[1]陕西省西安市中心医院神经外科,西安710003

出　　处：《中国肿瘤临床与康复》2016年第3期325-327,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨显微外科手术治疗颅内动脉瘤的效果及影响因素。方法选取2010年11月至2014年11月间接收诊治的80例颅内动脉瘤患者,回顾性分析经显微手术治疗的颅内动脉瘤患者的临床表现、手术时机及方式、疗效及其并发症。结果 80例患者共93个动脉瘤,成功夹闭88个,夹闭后实施瘤体切除术1个,实施动脉瘤孤立术2个,实施包裹加固术2个。术后随访观察12个月,出现脑梗死8例,脑积水4例,偏瘫6例,失语3例。治疗效果按照拉斯哥预后标准进行评分,疗效良好者71例(88.8%),效果不佳者6例(7.5%),死亡3例(3.8%)。结论显微手术是治疗颅内动脉瘤的重要、有效的方法,术前准确诊断、手术时机及方式的合理选择和术后并发症的有效防治是提高手术成功率的重要因素。Objective To explore the clinical efficacy and influence factors of microsurgical operation in the treatment of intracranial aneurysms. Methods From November 2010 to November 2014 in Xi,an Center Hospital,80 intracranial aneurysms patients with microsurgical treatment were enrolled in the study. The clinical manifestations curative effect and prevention of the complications were explored.Results 80 cases with a total of 93 aneurysms successfully clip closed 88 cases,clip closed after tumor resection 1 case,trapping aneurysms 2 cases,parcel reinforcement surgery 2 cases. Postoperative follow-uped for 12 mo,cerebral infarction occurred in 8 cases,hydrocephalus in 4 cases,6 cases of hemiplegia,aphasia in 3 patients. According to Glasgow outcome scale（ GOS）,71 cases（ 88. 8%） achieved good curative effect,6 cases（ 7. 5%） ineffective,3 cases（ 3. 8%） death. Conclusions In the treatment of intracranial aneurysms,microsurgical treatment is an important and effective method and could achieve accurate preoperative diagnosis. Surgical timing and manner of reasonable selection,postoperative effective prevention and treatment of complications are important factors to improve the success rate of surgery.

关 键 词：颅内动脉瘤 显微手术 预后 

分 类 号：R651.12[医药卫生—外科学]