临床神经外科杂志2018，Vol.15Issue(1)：17-21,5.DOI:10.3969/j.issn.1672-7770.2018.01.004
颅内多发动脉瘤的显微手术治疗
Microsurgical treatment of multiple intracranial aneurysms
摘要
Abstract
Objective To discuss the surgical strategy,operation time and the operation effect of multiple intracranial aneurysms(MIA).Methods The clinical data of 30 patients with MIA underwent microsurgery from December 2014 to June 2017 were analyzed retrospectively.Of 30 patients,6 were male and 24 were female.Patients aged from 38 to 79,the average age was 56.13 years old.Surgical strategies included one-stage operation(all aneurysms were treated by one operation),two-stage operation(aneurysms were treated stage by stage)and partial treatment(only ruptured aneurysm was treated).All patients underwent CTA or DSA before surgery.They were evaluated by the Glasgow prognostic scale(GOS)after operation.Results 20 patients underwent one-stage operation,3 underwent two-stage operation and 7 underwent partial treatment.According to GOS,20 patients had good recovery),3 slightly disabled,4 severely disabled,1 vegetative state and 12 died.Conclusions Microsurgical treatment of MIA is very complicated,the individualized treatment protocols should be developed.We should give priority to ruptured aneurysm,choose the right opportunity for surgery as soon as possible,combine the one-stage operation with the two-stage operation.Only in this way can we achieve the best treatment effect.关键词
颅内多发动脉瘤/显微手术/治疗Key words
multiple intracranial aneurysms/microsurgrey/treatment分类
医药卫生引用本文复制引用
包爱军,赵凌,朱读伟,郑昀旭,王新栋,刘厚强,丁允波,李祥..颅内多发动脉瘤的显微手术治疗[J].临床神经外科杂志,2018,15(1):17-21,5.基金项目
江苏省333高层次人才培养工程(2015201020) （2015201020）
