李健, 赵永轩, 孙涛, 马骏, 张少军. 显微手术治疗前交通动脉瘤破裂23例临床分析[J]. 蚌埠医科大学学报, 2015, 40(3): 342-344. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.015
    引用本文: 李健, 赵永轩, 孙涛, 马骏, 张少军. 显微手术治疗前交通动脉瘤破裂23例临床分析[J]. 蚌埠医科大学学报, 2015, 40(3): 342-344. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.015
    LI Jian, ZHAO Yong-xuan, SUN Tao, MA Jun, ZHANG Shao-jun. The clinical analysis of microsurgery in the treatment of ruptured anterior communicated artery aneurysm in 23 cases[J]. Journal of Bengbu Medical University, 2015, 40(3): 342-344. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.015
    Citation: LI Jian, ZHAO Yong-xuan, SUN Tao, MA Jun, ZHANG Shao-jun. The clinical analysis of microsurgery in the treatment of ruptured anterior communicated artery aneurysm in 23 cases[J]. Journal of Bengbu Medical University, 2015, 40(3): 342-344. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.015

    显微手术治疗前交通动脉瘤破裂23例临床分析

    The clinical analysis of microsurgery in the treatment of ruptured anterior communicated artery aneurysm in 23 cases

    • 摘要: 目的:探讨前交通动脉瘤破裂显微神经外科治疗的临床效果。方法:回顾分析前交通动脉瘤破裂患者23例临床资料,其中16例采用Yasargil翼点入路,7例采用眶上锁孔入路。结果:手术效果按格拉斯哥预后评分,恢复良好18例(78.3%),中残1例(4.3%),重残2例(8.7%),死亡2例(8.7%)。随访时间6~12个月,术后复查CT动脉血管成像未见夹闭不全或误夹血管。结论:对Hunt-Hess分级Ⅰ~Ⅲ级前交通动脉瘤破裂患者进行显微手术治疗,翼点入路及眶上锁孔入路术中均能清楚暴露瘤颈,是较佳的治疗方法。

       

      Abstract: Objective:To investigate the clinical effects of microsurgery in treating the rupturing anterior communicating artery aneurysm.Methods:The clinical data of 23 cases with rupturing anterior communicating artery aneurysm were retrospectively analyzed.Sixteen cases were treated with Yasargil pterional approach,7 cases were treated with supraorbital keyhole approach.Results:According to the Glasgow Outcome Score,18 patients(78.3%) were complete recovery,1 case(4.3%) was moderate disability,2 cases(8.7%) were severe disability and 2 cases(8.7%) died.All patients were followed up for 6 to 12 months.No incomplete or false clipping vessel were observed by the postoperative CTA.Conclusions:The pterional approach and supraorbital keyhole approach,which can fully expose the aneurysms,is an effective method in treating anterior communicating artery aneurysms in the patients with grade Ⅰto Ⅲ of Hunt-Hess rupture.

       

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