经双侧额外侧入路显微手术同期处理颅内镜像动脉瘤

经双侧额外侧入路显微手术同期处理颅内镜像动脉瘤

目的探讨经双侧额外侧入路显微手术同期处理颅内镜像动脉瘤的手术方法、临床效果及手术并发症。方法回顾分析18例前循环镜像动脉瘤患者的临床资料，均经双侧额外侧入路同期行动脉瘤夹闭术，Glasgow预后分级（GOS）评价手术疗效。结果18例患者共发现36个动脉瘤，其中后交通动脉镜像动脉瘤9例（18个）、大脑中动脉镜像动脉瘤9例（18个）。术后GOS评分5分16例、4分2例，术后并发症包括交通性脑积水（1例）和肺部感染（1例），无死亡患者。术后6个月CTA显示动脉瘤夹闭完全、未复发，载瘤动脉血流通畅。结论采用经双侧额外侧入路同期夹闭颅内镜像动脉瘤手术创伤小、术野合理、安全性高、手术疗效满意、预后良好，是...

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Bibliographic Details
Published in:中国现代神经疾病杂志 Vol. 16; no. 8; pp. 527 - 532
Main Author: 王红光 任贺成 李冰 李贞伟 马琳 孙梅 尹龙 黄楹
Format: Journal Article
Language:Chinese
Published: 300350,天津市环湖医院神经外科 2016
Subjects:
显微外科手术
颅内动脉瘤
额叶
颅内动脉瘤
Microsurgery
显微外科手术
Frontal lobe
额叶
Intracranial aneurysm
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Summary:目的探讨经双侧额外侧入路显微手术同期处理颅内镜像动脉瘤的手术方法、临床效果及手术并发症。方法回顾分析18例前循环镜像动脉瘤患者的临床资料，均经双侧额外侧入路同期行动脉瘤夹闭术，Glasgow预后分级（GOS）评价手术疗效。结果18例患者共发现36个动脉瘤，其中后交通动脉镜像动脉瘤9例（18个）、大脑中动脉镜像动脉瘤9例（18个）。术后GOS评分5分16例、4分2例，术后并发症包括交通性脑积水（1例）和肺部感染（1例），无死亡患者。术后6个月CTA显示动脉瘤夹闭完全、未复发，载瘤动脉血流通畅。结论采用经双侧额外侧入路同期夹闭颅内镜像动脉瘤手术创伤小、术野合理、安全性高、手术疗效满意、预后良好，是微侵袭神经外科手术的新尝试。
Bibliography:Intracranial aneurysm; Frontal lobe; Microsurgery
WANG Hong-guang, REN He-cheng, LI Bing, LI Zhen-wei, MA Lin, SUN Mei, YIN Long, HUANG Ying （Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300350, China）
Objective To investigate surgical strategies, clinical effects and complications of microsurgical one-stage treatment of intracranial mirror aneurysms via bilateral frontolateral approaches. Methods Review clinical data of 18 cases with anterior circulation mirror aneurysms who underwent onestage clipping via bilateral frontolateral approaches from July 2010 to July 2015 admitted to Department of Neurosurgery in Tianjin Huanhu Hospital. The operative efficacy was evaluated according to postoperative Glasgow Outcome Scale （GOS）. Results The 36 aneurysms in 18 patients were successfully clipped via bilateral frontolateral approaches at one-stage, including 18 posterior communicating artery （PCoA） mirror aneurysms in 9 cases and 18 middle cerebral artery （MCA） mirror aneurysms in 9 cases. GOS score o
ISSN:1672-6731
DOI:10.3969/j.issn.1672-6731.2016.08.012