摘要
目的：探讨后循环动脉瘤显微手术的策略及技巧。方法回顾性地分析2008年3月至2013年3月在河北医科大学第二医院实施手术治疗的21例后循环动脉瘤的临床资料及手术策略与技巧。翼点入路夹闭基底动脉瘤2例，颞下入路夹闭基底动脉瘤7例，颞下入路夹闭大脑后动脉瘤5例，枕下乙状窦后入路夹闭小脑前下动脉瘤2例，应用远外侧入路夹闭小脑后下动脉瘤3例、椎动脉瘤2例。结果所有动脉瘤均妥善夹闭。随访1～60个月，根据格拉斯哥预后评分（GOS）结果评定：良好16例（GOS 4～5分，76．2％），差3例（GOS 2～3分，14．3％），死亡2例（ GOS 1分，9．5％）。结论开颅手术是治疗后循环动脉瘤的有效手段，科学正确的手术策略、精巧细致的分离暴露方法对于手术的成功及患者的疗效至关重要。
Objective To summarize surgical strategies and skills against aneurysms of posterior circulation .Methods Twenty-one cases of posterior circulation aneurysms who had undergone microsurgery between March 2008 and March 2013 were analyzed retrospectively .Two of these cases had their basilar artery aneurysms clipped via the pterion approach and five through the subtemporal approach .Five posterior cerebral artery aneurysms were clipped via the subtemporal approach , two anterior inferior cerebellar artery aneurysms were clipped via the retrosigmoid approach , three posterior inferior cerebel-lar artery aneurysms were clipped through the far lateral approach , and two vertebral artery aneurysms were clipped similar-ly approach.Results All the aneurysms were clipped successfully .According to Glasgow Outcome Scale （GOS）, the cura-tive effect was poor in 3 cases（GOS 2-3 points）, good in 16 cases（GOS 4-5 points） and 2 patients died（GOS 1 point）. Conclusion Aneurysms of posterior circulation can be treated through microsurgery .Proper surgical strategies , operative ap-proach and delicate surgical skills are critical to the success of surgeries and curative effects .
出处
《军事医学》
CAS
CSCD
北大核心
2014年第4期309-311,共3页
Military Medical Sciences
