武警医学2017，Vol.28Issue(8)：820-822,3.
大脑中动脉动脉瘤破裂伴血肿的显微手术治疗
Microsurgical treatment of ruptured middle cerebral artery aneurysms associated with hematoma
李家亮 1李岩 1刘文祥 1黄琦 1苗鹏飞 1李想 1高上1
作者信息
- 1. 476100,河南省商丘市第一人民医院神经外科
- 折叠
摘要
Abstract
Objective To explore the clinical characteristics,diagnostic value and curative effect of three-dimensional CT angiography (3D-CTA) in middle cerebral artery aneurysms associated with hematoma.Methods The clinical data of thirty-two patients with middle cerebral artery aneurysms associated with hematoma was analyzed retrospectively.Results All the patients received craniotomy for evacuation of hematoma and clipped intracranial aneurysms under neuroeletrophysiological monitoring.When the patients were discharged,they were graded according to Glasgow Outcome Scale.Twenty-three patients got 4-5 scores,five patients 3 scores,two patients 2 scores,and two patients got 1 score.The follow-up ranged from three months to six years,and there was no recurrent aneurysm or re-bleeding postoperatively.Conclusions The three-dimensional CT angiography (3D-CTA) is a preferred method to diagnose ruptured middle cerebral artery aneurysms associated with hematoma.Early craniotomy for evacuation of hematoma and clipped intracranial aneurysms under neuroeletrophysiological monitoring can improve the therapeutic effect.关键词
颅内动脉瘤/大脑中动脉/血肿/显微外科手术Key words
intracranial aneurysm/middle cerebral artery/hematoma/microsurgery分类
临床医学引用本文复制引用
李家亮,李岩,刘文祥,黄琦,苗鹏飞,李想,高上..大脑中动脉动脉瘤破裂伴血肿的显微手术治疗[J].武警医学,2017,28(8):820-822,3.
