神经内镜下单侧入路夹闭双侧多发动脉瘤1例并文献复习  

Neuroendoscopic clipping of bilateral multiple aneurysms via unilateral approach:a case study and literature review

作　　者：王小刚 王衍廷[1] 崔娜 王伯栋 王振刚 袁绍纪[1] 朱伟杰[1] 徐广振 WANG Xiaogang;WANG Yanting;CUI Na;WANG Bodong;WANG Zhengang;YUAN Shaoji;ZHU Weijie;XU Guangzhen(Neurosurgery Department of the 960th Hospital of the Chinese People's Liberation Army Joint Logistics Support,Jinan,Shandong 250031,China;Ultrasound Diagnosis Department of the 960th Hospital of the Chinese People's Liberation Army Joint Logistics Support,Jinan,Shandong 250031,China)

机构地区：[1]中国人民解放军联勤保障第960医院神经外科,山东济南250031 [2]中国人民解放军联勤保障第960医院超声诊断科,山东济南250031

出　　处：《中华神经外科疾病研究杂志》2024年第2期72-74,共3页Chinese Journal of Neurosurgical Disease Research

基　　金：国家自然科学基金资助项目(81801191);山东省医药卫生科技项目(202304041700);济南市临床医学科技创新计划项目(202134022)。

摘　　要：目的 总结神经内镜在颅内动脉瘤夹闭术中的相关经验.方法 通过神经内镜单侧入路,治疗1例颅内双侧多发动脉瘤的诊治经过,复习相关文献资料,分析神经内镜在动脉瘤夹闭中应用.结果 本例患者通过神经内镜行单侧开颅夹闭双侧多发动脉瘤,患者恢复良好出院.结论 颅内动脉瘤具有病情急、危、重等特点,通过神经内镜抵近直视、多角度全方位观察,单侧入路解决双侧多发动脉瘤,提高总体救治水平.Objective To summarize the experience gained from neuroendoscopy during a cerebral aneurysm surgery.Methods One case of bilateral intracranial multiple aneurysms was treated with the neuroendoscopic unilateral approach.The process of diagnosis and treatment was reviewed while the applications of neuroendoscopy in clipping aneurysms were analyzed.Results The patient underwent neuroendoscopic unilateral craniotomy to clip bilateral multiple aneurysms.She recovered well and was discharged.Conclusion Cerebral aneurysms are typically acute,critical and severe.Through neuroendoscopy,direct vision and multi-angle and omni-directional observation,the unilateral approach can remove bilateral multiple aneurysms and improve the overall level of treatment.

关 键 词：多发动脉瘤 神经内镜 动脉瘤夹闭术 

分 类 号：R651.12[医药卫生—外科学]