临床神经外科杂志2016，Vol.13Issue(5)：360-363,4.DOI:10.3969/j.issn.1672-7770.2016.05.011
显微外科治疗前交通动脉瘤手术入路的选择及疗效分析
Efficacy analysis and choice of microsurgical approaches for anterior communicating ;artery aneurysms
宋凤磊 1马琳 2王世波 3赵阳 1王利刚1
作者信息
- 1. 071000 保定市第二医院神经外科
- 2. 071000 保定市第二医院功能科
- 3. 天津市环湖医院神经外科
- 折叠
摘要
Abstract
Objective To explore the efficacy of microsurgical standard pterional approach, interhemispheric approach and combined approaches for clipping anterior communicating artery aneurysms, and the principles for choosing microsurgical approaches.Methods The clinical data of 78 patients with anterior communicating artery aneurysms treated in our hospital from January, 2012 to June, 2015 were analyzed retrospectively.All of the patients were diagnosed with CTA or DSA.39 cases were treated by standard pterional approach, 34 cases by interhemispheric approach and 5 cases by combined approaches.Results According to the Glasgow Outcome Scale, 29 cases by standard pterion approach, 25 cases by interhemispheric approach and 5 cases by combined approaches had good recovery at six months after hospital discharge.Conclusions Early treatment of anterior communicating artery aneurysms by standard pterional approach, interhemispheric approach and combined approaches is effective and has favorable prognosis.Choosing proper microsurgical approach according to aneurysm points is the basis of successful microsurgery.关键词
前交通动脉瘤/显微手术/翼点入路/纵裂入路/翼点纵裂联合入路Key words
anterior communicating artery aneurysms/microsurgery/pterional approach/interhemispheric approach/combined approaches分类
医药卫生引用本文复制引用
宋凤磊,马琳,王世波,赵阳,王利刚..显微外科治疗前交通动脉瘤手术入路的选择及疗效分析[J].临床神经外科杂志,2016,13(5):360-363,4.
