神经内镜辅助夹闭颅内动脉瘤临床研究  

Clinical study on neuroendoscope-assisted surgery for clipping the intracranial aneurysms

作　　者：赵继宗[1] 王永刚[1] 王硕[1] 王得江[1] 王嵘[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100050

出　　处：《中华神经外科疾病研究杂志》2003年第2期111-114,共4页Chinese Journal of Neurosurgical Disease Research

基　　金：北京市科委基金资助项目 (95551 0 1 60 0 )

摘　　要：目的　探讨神经内镜辅助夹闭颅内动脉瘤的价值。方法　 2 0 0 0年 2月至 2 0 0 2年 12月 ,神经内镜辅助颅内动脉瘤手术夹闭 78例患者 79个动脉瘤 ,前循环系统动脉瘤 72例 (73个动脉瘤 ) ,后循环系统动脉瘤 6例。动脉瘤体直径 5～ 4 0mm ,平均 12 .5mm。术前分级 :Hunt Hess分级 0级 8例 ,I级 32例 ,II级 33例 ,III级 5例。结果　本组无手术死亡 ,手术后出现并发症 6例 (7.7% ) ,其中肢体偏瘫 4例 (1例合并语言障碍 ) ,伪膜性肠炎及视力下降各 1例。本组未出现与内镜有关的并发症。结论　神经内镜辅助动脉瘤外科提高了手术效果 。Objective To evaluate the effect of treatment of intracranial aneurysms with the help of neuro endoscope. Methods 79 intracranial aneurysms of 78 cases were clipped with the help of neuroendoscope, including 73 anterior circulatory aneurysms (in 72 cases) and 6 posterior circulatory aneurysms, from February. 2000 to December. 2002. The diameters of the aneurysms were between 5～40 mm with mean value of 12.5 mm. In Hunt Hess preoperative classification, 32 cases were grade I, 33 cases were grade II and 5 cases were grade III. Results Postoperative complications were observed in 6 cases (7.7%), including hemiplegia in 4 cases (1 case with combination of aphasia), pseudomembranous enteritis in 1 case and hypopsia in 1 case. No neuro endoscope related complications had been observed and no postoperative death in our group. Conclusion The operative effect in aneurysm neurosurgery was obviously improved by the use of neuroendoscope. The more powerful neuro endoscopic equipments are expected in the future.

关 键 词：神经内镜 颅内动脉瘤 临床研究 微骨孔入路 

分 类 号：R739.41[医药卫生—肿瘤]