经颈内动脉海绵窦间隙入路行海绵窦段颈内动脉动脉瘤显微手术  

Investigation of the direct microsurgery of ICCA aneurysms via the carotid artery-cavernous sinus space approach

作　　者：孙丕通[1] 赵炳纯[1] 张健[1] 杨平[1] 徐英辉[1] 刘荣耀[1] 白景阳[1] 许友松[1] 

机构地区：[1]大连医科大学附属第一医院神经外科,116011

出　　处：《中华神经外科杂志》2003年第1期37-39,共3页Chinese Journal of Neurosurgery

摘　　要：目的　探讨海绵窦内颈内动脉动脉瘤 (ICCAAns)的直接显微手术方法。方法　在研究海绵窦上壁及相关组织显微解剖的基础上对 1 5例ICCAAns施行经颈内动脉海绵窦间隙入路动脉瘤直接显微手术。结果　 1 5例病人术毕均即刻行颈动脉穿刺造影 ,证实动脉瘤消失 ,颈内动脉显影良好 ,随诊 1个月至 8年 ,患Ⅲ、Ⅳ、Ⅴa及Ⅵ颅神经麻痹的病人 ,除 2例病人术后 1个月和 8个月仍完全和不完全麻痹外 ,余 3例均恢复正常 ,1 5例病人均恢复了工作 ,无一例出现再出血或再次出现神经麻痹症状。Objective To discuss the approach and technique of the direct microsurgery of intracavernous sinus carotid artery aneurysms(ICCAAns).Methods All the 15 cases of ICCAAns underwent the direct microsurgery via the carotid artery cavernous sinus space approach.Results Immediate carotid arteriography after the surgery showed that the aneurysms disappeared and the carotid artery could be showed clearly and normall. In a follow up period ranged 1 months to 9 years, it was showed that, among 5 cases with Ⅲ?Ⅳ?Ⅴa?Ⅵ nerve paralysis before the surgery, three completely recovered, one recovered incompletely. All patients regained the capability of undertaking normal activities. None experienced rebleeding or neuroparalysis.Conclusions Direct microsurgery via this approach is an ideal treatment of ICCAAns.

关 键 词：海绵窦内颈内动脉动脉瘤 显微外科手术 治疗 

分 类 号：R732.2[医药卫生—肿瘤]