摘要
[目的]探讨前交通动脉瘤显微手术治疗的手术方案.[方法]回顾性分析显微手术治疗的60例前交通动脉瘤临床资料.[结果]1例术前Hunt-Hess分级为Ⅴ级的患者死亡,余患者出院前GOS（Glasgow Outcome Scale）评分5分30例,4分21例,3分6例,2分2例.本组病例随访3～36个月,均无再次出血.25例患者均复查CTA,未见动脉瘤残留或复发.[结论]翼点入路显微镜下夹闭动脉瘤是治疗前交通动脉瘤的有效手段.
[Objective]To explore the microsurgery for the treatment of anterior communicating aneurysm. [Methods] The clinical data of 60 cases of anterior communicating aneurysms undergoing microsurgery were analyzed retrospectively, [Results]One patient with grade V（Hunt-Hess Scale） died. According to Glasgow Outcome Scale, 30 patients got 5 points, 21 patients got 4 points, 6 patients got 3 points and 3 patients got 2 points before discharged from the hospital. All patients were followed up for 3~36 months. No re-bleeding occurred. No residual aneurysm or recurrence was found by CTA reexamination of 25 patients. [Conclusion]The occlusion of aneurysm via pterion ap- proach under microscope is an effective method for the treatment of anterior communicating aneurysm.
出处
《医学临床研究》
CAS
2012年第1期5-7,共3页
Journal of Clinical Research
基金
[基金项目]中国博士后科学基金（20070420941）
