眶上外侧入路显微手术夹闭颅内前循环动脉瘤  

Lateral supraorbital approach microsurgical clipping of intracranial anterior circulation aneurysms

作　　者：高歌[1] 张扬 晁迎九[1] 陈昱[1] 顾大群[1] 余舰[1] 魏建军[1] 牛朝诗[1] 傅先明[1] 

机构地区：[1]安徽医科大学附属省立医院神经外科,合肥230001

出　　处：《安徽医科大学学报》2016年第9期1381-1383,共3页Acta Universitatis Medicinalis Anhui

基　　金：安徽省2015年度第三批科技计划项目(编号:1506c085017)

摘　　要：分析应用眶上外侧入路显微外科手术治疗颅内前循环动脉瘤的临床经验并探讨其临床应用价值。回顾分析应用眶上外侧入路治疗的颅内前循环动脉瘤患者的临床资料(动脉瘤分布、并发症及格拉斯哥预后评分等)。62例患者(72个动脉瘤),其中9例为多发动脉瘤,共夹闭动脉瘤72个。预后良好59例、中残1例、轻残2例、无死亡病例。眶上外侧入路较传统翼点入路操作简捷高效,尤其适合应用于Hunt-HessⅢ级以内的动脉瘤患者。To summarize the clinical experience in applied lateral supraorbital approach to microsurgical clip intracranial anterior circulation aneurysms and to explore its clinical value. Clinical data（ including aneurysm distribution,complications and prognosis GOS score,etc） were retrospectively analyzed using the lateral supraorbital approach to treat intracranial anterior circulation aneurysms. 62 patients（ 72 aneurysms）,of which 9 cases were multiple aneurysms,all aneurysms were clipped. 59 cases recovered well,with 1 case of moderate disability,2 cases of mild disability,and no mortality. Lateral upraorbital approach is more simple and efficient than traditional pterional approach,especially suitable for patients with aneurysms within Hunt-Hess grade Ⅲ.

关 键 词：眶上外侧入路 前循环动脉瘤 显微外科 

分 类 号：R743.35[医药卫生—神经病学与精神病学]