摘要
Abstract
Objective To investigate clinical features ,imaging features and microsurgical treatment and prognosis of mid-dle cerebral artery aneurysms. Methods Clinical manifestations ,imaging features ,operative methods and prognosis of 51 cases with MCA aneurysms were analyzed retrospectively.Results 43 cases were clipped ,4 cases were clipped and wrapped ,3 cases were wrapped strengthened ,1 case was isolated. The follow-up periods ranged from 3 to 12 months ,according to GOS assess-ment ,the results showed 29 patients with 5 points ,11 patients with 4 points ,4 patients with 3 points ,2 patients with 2 points ,5 patients with 1 point. Those with poor prognosis ( severe disability to death ) were mainly for Hunt-Hess Ⅳ ,Ⅴgrade. Conclusion Early and accurate diagnosis of aneurysm ,skilled master of microsurgical technique and surgery time can improve the prognosis of middle cerebral artery aneurysms. Microsurgy and treatment strategy were based on personalized con-dition of patients with MCAAs ,the intraoperative protection of MCA and relative vascular branches is the key to good prog-noses in the patients with MCAA treated with microsurgery.关键词
大脑中动脉瘤/显微手术/临床特点/影像学特征/预后Key words
Middle cerebral artery aneurysms/Microsurgery/Clinical features/Imaging features/Prognosis分类
医药卫生
