大脑中动脉瘤破裂并颅内血肿形成的超早期显微手术治疗  

Treatment of ultra-early microsurgery on middle cerebral artery aneurysm rupture combined intracranial hematoma

作　　者：李捷[1] 龙霄翱[1] 尹延庆[1] 黄梓雄[1] 

机构地区：[1]广东医学院附属医院神经外科,广东湛江524000

出　　处：《中国医药科学》2016年第4期7-10,共4页China Medicine And Pharmacy

摘　　要：目的探讨大脑中动脉瘤破裂并伴有颅内血肿形成的超早期显微手术技巧及疗效。方法回顾性分析2011年1月~2014年1月间采用显微手术超早期治疗的52例大脑中动脉瘤破裂并颅内血肿形成的患者资料,分析并探讨其显微手术操作技巧及治疗效果。结果 52例患者术中夹闭52个动脉瘤,其中4例多发动脉瘤术后予二期介入栓塞治疗,术后一年随诊根据GOS评分进行评估,结果显示预后良好40例,预后不良10例,死亡2例。其中Hunt-Hess分级V级患者预后较差。结论超早期显微手术清除血肿及夹闭动脉瘤是治疗Hunt-Hess分级V级以下大脑中动脉瘤破裂并颅内血肿形成的患者的理想及有效手段。Objective To study the ultra-early microsurgery technique and efficacy on middle cerebral artery aneurysm rupture combined intracranial hematoma. Methods 52 patients with middle cerebral artery aneurysm rupture combined intracranial hematoma,who were treated with ultra-early microsurgery from January 2011 to January 2014,were retrospective analyzed.To analyze and study the operating skills of microsurgery and treatment effect. Results Of the 52 intraoperative occlusive aneurysms in 52 patients,4 multiple aneurysms were treated with second stage interventional embolization after operation,to evaluate according to GOS score of 1 year postoperative followup.The results showed that,there were 40 cases good prognosis,10 cases poor prognosis,and 2 cases death,there into,patients of Level V in Hunt-Hess classification were poorer prognosis. Conclusion Ultra-early microsurgery on hematoma removal and occlusive aneurysms is perfect and effective method to treat middle cerebral artery aneurysm rupture combined intracranial hematoma of Level V in Hunt-Hess classification.

关 键 词：大脑中动脉瘤 颅内血肿 显微手术 超早 

分 类 号：R743.3[医药卫生—神经病学与精神病学]