局解手术学杂志2016，Vol.25Issue(11)：801-803,3.DOI:10.11659/jjssx.05E016017
颅内外血管搭桥联合动脉瘤孤立术治疗大脑中动脉瘤
Intracranial aneurysm isolation combined with extra-intracranial bypass in treatment of middle cerebral artery aneurysm
摘要
Abstract
Objective To investigate the effect of intracranial aneurysm isolation combined with extra-intracranial bypass in treatment of middle cerebral artery aneurysm.Methods From January 2013 to March 2015,there were 32 patients with complex middle cerebral artery aneurysm in our hospital,who were treated by intracranial aneurysm isolation combined with extra-intracranial bypass.The clinical symptoms and image examination after surgery were retrospectively analyzed,and the hemodynamic index of middle cerebral artery before and after treat-ment was statistically analyzed.Results The postoperative clinical symptoms of 25 patients were relieved,the mRS score was 0 point.Seven patients received surgery,1 week later,the muscle force of involved side was grade 2 to 3,the mRS score was 2 to 3 point,the blood flowing smoothly in target vessel,with no original aneurysm,no new ischemic stroke or infarct.After intervention,systolic and diastolic blood flow ve-locity were faster than those before the intervention(P <0.05),blood flow resistance were lower than those before intervention(P <0.05). Conclusion The intracranial aneurysm isolation combined with extra-intracranial bypass can effectively improve the clinical symptoms of pa-tients with complex intracranial aneurysms,with high graft patency rate and reliable effect.关键词
颅内外血管搭桥/动脉瘤孤立/大脑中动脉动脉瘤/疗效Key words
extra-intracranial bypass/aneurysm isolation/middle cerebral artery aneurysms/efficacy分类
医药卫生引用本文复制引用
李丽,魏德胜,李淑君..颅内外血管搭桥联合动脉瘤孤立术治疗大脑中动脉瘤[J].局解手术学杂志,2016,25(11):801-803,3.基金项目
卫生部医药卫生科技发展研究课题 （）
