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显微手术治疗脑动脉瘤69例报告

赵富文 程序曲 支文勇

中国实用神经疾病杂志2017,Vol.20Issue(23):50-53,4.
中国实用神经疾病杂志2017,Vol.20Issue(23):50-53,4.DOI:10.3969/j.issn.1673-5110.2017.23.013

显微手术治疗脑动脉瘤69例报告

Report of 69 cases cerebral aneurysm microsurgery

赵富文 1程序曲 1支文勇1

作者信息

  • 1. 常熟市第二人民医院神经外科,江苏 常熟 215500
  • 折叠

摘要

Abstract

Objective Analyze and summarize 69 cases of cerebral aneurysm microsurgery in recent 10 years ,to provide rea-sonable surgical indications ,to master microsurgical technique and be familiar with cerebral local microdissection structure ,and to realize the proper postoperative treatment .Methods Collected 69 cases of cerebral aneurysm microsurgery in our hospital in recent 10 years ,then analyzed the onset age ,gender ,clinical manifestations ,imaging data ,preoperative diagnosis ,operation time ,surgical methods and postoperative treatment .Results The mortality rate of patients was decreased and the operation rate increased year by year with the accumulation of cases .Conclusion Skilled use of microsurgery and familiar microanatomy of brain vessels are the basis of surgery .The key to the operation is to properly clamp the neck of the aneurysm while controlling the tumor artery .Post-operative treatment such as cerebrospinal fluid drainage can help to achieve good results .

关键词

脑动脉瘤/显微手术/脑脊液引流/脑血管痉挛/脑积水/病死率

Key words

Cerebral aneurysm/Microsurgery/Cerebrospinal fluid drainage/Cerebral vasospasm/Hydrocephalus/Mortality

分类

医药卫生

引用本文复制引用

赵富文,程序曲,支文勇..显微手术治疗脑动脉瘤69例报告[J].中国实用神经疾病杂志,2017,20(23):50-53,4.

基金项目

江苏省卫生计生委科研项目,编号:YG2101504 ()

中国实用神经疾病杂志

1673-5110

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