中国脑血管病杂志2011，Vol.8Issue(11)：592-595,4.DOI:10.3969/j.issn.1672-5921.2011.11.007
单侧翼点入路一期治疗双侧后交通动脉动脉瘤的疗效分析
One-stage operation for bilateral posterior communicating artery aneurysms via unilateral pterional approach: an efficacy analysis
邓青山 1李定君 1顾应江 1黄昌仁 1董劲虎 1陈礼刚1
作者信息
- 1. 646000 泸州医学院附属医院神经外科
- 折叠
摘要
Abstract
Objective Tu investigate the feasibility and operative effect of the one-stage microsurgery for flipping of bilateral posterior communicating artery aneurysms ( BpcoAA). Methods The clinical data of 28 patients with BpcoAA were analyzed retrospectively. All patients underwent craniotomy and micro-surgical clipping of BPcoAA via unilateral pterional approach. The patients were followed up for 6 months to 3 years after microsurgery. The head 3D-CTA of the patients and their general conditions were reexamined. The Glasgow outcome scale (COS) scores were used to assess the prognosis. Results ①Cood preopera-tive 3D-CTA showed 28 cases with 56 aneurysms, the aneurysms were clipped completely in 24 cases, the contralateral aneurysms were not clipped completely in 3 cases, the aneurysm was not clipped completely on the approach side in 1 case, and none of the patients died. The aneurysms ruptured in 8 cases on the approach sides during the microsurgery. ②After mirrosurgery, 7 cases had hydrocephalus, and 5 had vaso-spasm on the approach sides and 3 on the contralateral sides, 3 suffered pulmonary infection, and 2 had oculomotor nerve injury on the contralateral sides. ③The mean follow-up time of the patients was I. 7 years. The COS scores; 5 points in 10 cases, 4 points in 7 cases, 3 points in 9 cases, and 2 points in 2 cases. There were no aneurysm recurrence and new aneurysm formation. The patients whose aneurysms were not clipped completely had no recurrence of bleeding. Conclusion According to 3D-CTA examination, using unilateral pterional approach, aiming at the location of I he optic chiasm and the contralateral aneurysm pointing, the one-stage microsurgery for clipping of BpcoAA is safe and feasible.关键词
颅内动脉瘤/显微外科手术/后交通动脉动脉瘤/一期手术/翼点入路Key words
Intracranial aneurysms/ Microsurgery/ Posterior communicating aneurysms/ One-stage operation/ Pterional approach引用本文复制引用
邓青山,李定君,顾应江,黄昌仁,董劲虎,陈礼刚..单侧翼点入路一期治疗双侧后交通动脉动脉瘤的疗效分析[J].中国脑血管病杂志,2011,8(11):592-595,4.
