四川医学2012，Vol.33Issue(2)：241-243,3.
显微外科治疗47例大脑中动脉分叉部动脉瘤
Microsurgical treatment of 47 patients with middle cerebral artery bifurcation aneurysms
赵鹤翔 1高晋健 1冯文 1高利民1
作者信息
- 1. 成都363医院神经外科,四川成都610041
- 折叠
摘要
Abstract
Objective To explore microsurgical skill of middle cerebral artery bifurcation aneurysms. Methods Retrospectively reviewing of clinical situation of 47 patients with middle cerebral artery bifurcation aneurysms that were treated microsur-gically. 37 had subarachnoid hemorrhages, 20 of whom had additional intracerebral hematoma. There were 3 in Hunt and Hess Grade , 6 Grade , 17 Grade , 8 Grade , and 3 Grade . The average diameter of the aneurysms was 9. 3 mm. According to the projection of the dome, 17 were anterosuperior projection, 22 were posterior projection, and 8 were inferior projection. Results The Glasgow Outcome Scale was used to evaluate the feedback of patients in 0. 5 ~4 years. Among all the patients, 16 had good recovery, 18 moderate and 6 severe disability and 2 in vegetative state. 5 patients died after surgery and 2 of them got a large area cerebral infarction. Conclusion Middle cerebral artery bifurcation aneurysms are often big and complicated, dysmorphic in shape and harboring intracranial hematoma. Early surgical treatment could effectively improve patient prognosis. Reasonable surgical approach, precisely identification of Ml or M2 perforators, right time temporary clipping and good clipping practice are the keys to the success operation.关键词
颅内动脉瘤/大脑中动脉/分叉/显微手术Key words
intracranial aneurysm/middle cerebral artery/bifurcation/microsurgery分类
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赵鹤翔,高晋健,冯文,高利民..显微外科治疗47例大脑中动脉分叉部动脉瘤[J].四川医学,2012,33(2):241-243,3.
