摘要
目的回顾性分析10例脉络膜前动脉动脉瘤显微手术效果。方法脑血管造影提示脉络膜前动脉起始部动脉瘤9例,头颅CT表现为蛛网膜下腔出血,采用翼点入路实施动脉瘤蒂夹闭术;脉络膜前动脉远端动脉瘤1例,动脉瘤位于脑室颞角,头颅CT表现为脑室内出血,采用颞中回入路行瘤蒂夹闭术。结果 10例均成功行动脉瘤蒂夹闭术,术后CTA影像学显示动脉瘤消失,1例有短暂脑缺血表现。10例患者6个月后均完全恢复。结论脉络膜前动脉动脉瘤的手术难度高。熟悉动脉瘤区域的解剖关系,术中进行有效的脑保护和必要的监测可明显提高脉络膜前动脉动脉瘤的手术治疗效果。
Objective To analyze the outcomes of 10 cases with anterior choroidal artery aneurysms treated by microsurgery. Methods With arteriography, the artery aneurysms located at proximal anterior choroidal artery in 9 cases, in which subarachnoid hemorrhage was diagnosed by CT. The aneurismal ncek clipping was performed via transpterional approach. The artery aneurysm located at temporal horn of cerebral ventricle in one case with distal anterior choroidal artery aneurysm, in which intraventricular hemorrhage was diagnosed by CT. The aneurismal ncek clipping was performed via middle temporal gyrus approach. Results The aneurismal ncek clipping was complete in 10 cases, in whom one case showed transient cerebral ischemia after clamping and recovered in 6 monthes. The aneurysm disappeared from the postoperative CT arteriography images. Conclusion The microsurgery for intracranial aneurysms of anterior choroidal artery is very difficult. Understanding sufficiently the anatomical structures around the anterior choroidal artery aneurysm, protecting the brain effectively and monitoring intraoperatively may improve obviously the therapeutic efficacy of anterior choroidal artery aneurysms.
出处
《江苏医药》
CAS
北大核心
2013年第22期2729-2730,共2页
Jiangsu Medical Journal
基金
江苏省医学重点学科基金资助项目(XR2007227)
