早期手术改善动脉瘤所致动眼神经麻痹的临床研究  

Clinical Observation of Aneurysm-induced Oculomotor Palsy Improved by Early Surgery

作　　者：叶伟[1] 陈政良[1] 李永利[1] 王社军[2] 康军[2] 杨立庄[2] 刘岩 

机构地区：[1]华中科技大学同济医院附属协和医院神经外科,湖北武汉430022 [2]哈尔滨医科大学附属第二院神经外科,黑龙江哈尔滨150086 [3]黑龙江省青岗县人民医院外科,黑龙江青岗151600

出　　处：《中国临床神经外科杂志》2003年第3期175-176,共2页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨早期手术和动脉瘤所致动眼神经麻痹神经功能恢复之间的关系。方法回顾性分析过去9年我科28例颈内-后交通动脉动脉瘤所致动眼神经麻痹的手术效果。结果动眼神经麻痹后3d内手术(0～3d)的9例病人中有8例,4～6d手术的6例病人中有4例,7～13d手术的4例病人有2例,14～30d手术的3例病人中1例,其动眼神经功能完全恢复。30d后手术效果最差,6例中仅1例完全恢复。结论为避免神经功能废损,建议动脉瘤致动眼神经麻痹最好在3日内手术。Objective To investigate the relationship between surgical opportunity and recovery of aneurysm-induced oculomotor palsy.Method The clinical data of28patients with aneurysm-induced oculomotor palsy,who underwent surgery for treating aneurysms,were analyzed restrospectively.Results Eight of9patients operated on within3days,4of6patients operated on from4to6days,2of4from7to13days and1of3from14to30days after the onset of oculomotor palsy had complete recovery of oculomotor function.Only1of6patients who underwent surgery over30days after the oculomotor palsy was perfectly recovered from his oculomotor palsy.Conclusions The surgery should be performed within3days after oculomotor palsy in the patients with aneurysm-induced oculomotor palsy to rehabilitate perfectly oculomotor function.

关 键 词：颅内动脉瘤 动眼神经麻痹 手术时机 

分 类 号：R739.41[医药卫生—肿瘤] R651.12[医药卫生—临床医学]