经翼点入路显微手术治疗前交通动脉瘤的临床体会  

Clinical Experience of Pterional Microsurgery for Treatment of Anterior Communicating Artery Aneurysms

作　　者：宿鹏飞[1] 宋述清[1] 王天宇[1] 王广义[1] 张振华[1] SU Pengfei SONG Shuqing WANG Tianyu WANG Guangyi ZHANG Zhenhua(Neurosurgery Department, Daqing People＇s Hospital Daqing Heilongjiang 163316, China)

机构地区：[1]黑龙江省大庆市人民医院神经外科,黑龙江大庆163316

出　　处：《中国卫生标准管理》2017年第4期48-49,共2页China Health Standard Management

摘　　要：目的探讨经翼点入路显微手术治疗前交通动脉瘤的临床疗效。方法选择我院的前交通动脉瘤患者92例。观察组46例接受经翼点入路显微手术。对照组46例采用眶外侧锁孔入路手术。结果观察组中痊愈54.35%,生活自理36.96%,重度残疾或植物生存6.52%,死亡2.17%,临床预后优于对照组。观察组并发症13.04%,少于对照组的30.43%(P<0.05)。结论与眶上锁点入路相比,经翼点入路显微手术治疗前交通动脉瘤预后好。Objective To investigate the clinical efficacy of pterional microsurgery for treatment of anterior communicating artery aneurysms.Methods 92 patients with anterior communicating aneurysms treated in our hospital were selected.The observation group of 46 cases treated by pterional microsurgery.The control group of 46 patients with lateral orbital keyhole surgery.Results In the observation group,54.35% of the patients were cured,36.96% of the patients living independently,severe disability or plant survival 6.52%,and a mortality of 2.17%,clinical prognosis is better than the control group.The complication rate of the observation group was 13.04% less than that of the control group 30.43%（P〈0.05）.Conclusion With the supraorbital approach compared with pterional microsurgery for treatment of anterior communicating artery aneurysms with good prognosis.

关 键 词：前交通动脉瘤 翼点入路 显微手术 

分 类 号：R651[医药卫生—外科学]