复合手术在颅内复杂动脉瘤治疗中的应用  

Management of 42 complex intracranial aneurysms in hybrid operating room

作　　者：赵鹏[1] 吴红星[2] 帕尔哈提·热西提[2] 刘青林[1] 王云彦[1] 李刚[1] 李新钢[1] 王东海[1] 

机构地区：[1]山东大学齐鲁医院神经外科山东大学脑科学研究所,济南250014 [2]新疆维吾尔自治区人民医院神经外科

出　　处：《中华医学杂志》2017年第11期810-813,共4页National Medical Journal of China

基　　金：中国博士后科学基金（2014M551916）;新疆维吾尔自治区科学技术厅科技支疆项目（201501158）;泰山学者建设工作专项经费资助（ts20110814）;山东省科技发展计划（2014GGE27251）;齐鲁医院临床实用新技术基金（201301）

摘　　要：目的对复合手术治疗复杂颅内动脉瘤的方法及疗效进行分析。方法2011年7月至2016年10月山东大学齐鲁医院神经外科应用复合手术室治疗复杂颅内动脉瘤42例；术中造影指导下的动脉瘤夹闭21例，介入技术辅助下的动脉瘤夹闭10例，搭桥手术辅助下的动脉瘤闭塞11例。结果对35例患者术后6～36个月进行了随访，33例（94．3％）在最后一次随访时动脉瘤完全闭塞，2例（5．7％）复发（1例进行了介入栓塞，1例继续随访）。结论复合手术室有利于即时对手术疗效进行评价，提高复杂动脉瘤的闭塞率，降低其治疗难度，为治疗颅内复杂动脉瘤提供了理想的治疗平台。Objective To analyze the efficacy and methods of hybrid operation in the treatment of complex intracranial aneurysms. Methods Fourty-two patients with complex intracranial aneurysms were treated in hybrid operation room of Qilu Hospital of Shandong University between July 2011 and October 2016. Twenty-one cases of aneurysm clipping guided by intraoperative angiography, 10 cases of aneurysm clipping assisted by endovascular therapy, and 11 cases of aneurysm occlusion assisted by bypass surgery. Results Thirty-five patients were followed up 6 -36 months. Thirty-three （94. 3% ） cases were completely occlusion, 2 （5.7%） cases were recurrent in follow-up. One of the recurrence case was performed interventional embolization treatment, and the other was continuous follow-up. Conclusion Hybrid operating room is beneficial to evaluate the surgical curative effect immediately. It could increase the occlusion rate of complicated aneurysms, and could provide an ideal platform for complicated intracranial aneurysm treatment.

关 键 词：复合手术 颅内复杂动脉瘤 术中脑血管造影 

分 类 号：R651.12[医药卫生—外科学]