经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤  

Microsuurgical clipping via Dolenc approach for patients with aneurysm of the ophthalmic segment of internal carotid artery

作　　者：李侠 秦军[1] 魏德胜[1] 雷军荣[1] 冯驰[1] 杨泽浩 付锐[1] LI Xia;QIN Jun;WEI De-sheng;LEI Jun-rong;FENG Chi;YANG Ze-hao;FU Rui(Department of Neurosurgery,Taihe Hospital,Affiliated Hospital of Hubei University of Medicine,Shiyan 442000,China)

机构地区：[1]十堰市太和医院(湖北医药学院附属太和医院)神经外科,湖北442000

出　　处：《中国临床神经外科杂志》2021年第12期921-923,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤的手术疗效、操作要点、并发症的预防。方法回顾性分析2015年7月至2019年1月经Dolenc入路夹闭术治疗的20例颈内动脉眼段动脉瘤的临床资料。结果术后CTA或DSA复查颈眼动脉瘤均夹闭完全,无瘤颈残留,无明显载瘤动脉狭窄。出院时,GOS评分5分16例,4分4例。结论经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤是安全可靠有效的方法。Objective To explore the surgical efficacy,main points of operation,and prevention of complications of microsurgical clipping via Dolenc approach for the patients with aneurysm of the ophthalmic segment of internal carotid artery(named as carotidophthalmic aneurysm,COA).Methods A retrospective analysis was performed on the clinical data of 20 patients with COA who underwent microsurgical clipping via Dolenc approach from July 2015 to January 2019.Results Postoperative CTA or DSA reexamination showed that the aneurysms were completely clipped without residual neck and obvious stenosis of the parent artery.On discharge,the GOS score of 5 points was achieved in 16 patients and 4 points in 4.Conclusions The microsurgical clipping via Dolenc approach is a safe,reliable and effective method for the treatment of the patients with COA.

关 键 词：颅内动脉瘤 颈内动脉眼段 夹闭术 Dolenc入路 疗效 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]