摘要
目的探讨颅内动脉瘤夹闭术后出现残留的原因并寻求预防方法。方法随机选取惠州市中心人民医院2007年3月—2014年12月收治的100例接受开颅动脉瘤颈夹闭术的颅内动脉瘤患者。全部于手术前给予DSA或者CTA辅助检查,确诊为颅内动脉瘤,术后1个月行DSA检查观察其恢复情况,观察有无残留。结果 100例患者经手术治疗后1个月行3D-DSA复查,其中完全夹闭90例,完全夹闭率90%,发现有载瘤血管狭窄(与手术之前相比较)3例,出现动脉残留7例,残留率为7%。7例出现残留的患者2 mm与3 mm级的3例患者均进行介入栓塞术再次治疗,余下4名1 mm级患者保持随访进行中。此7名患者目前状况均良好。结论颅内动脉瘤夹闭术后残留的情况和手术前仔细检查分析、手术器械使用、术中正确选取器材等具有明显的关联,通过上述流程的改进和完善,颅内动脉瘤夹闭术后残留是能够预防的。
Objective To study the cause of the residue after intracranial aneurysm clipping and seek to prevent them. Methods Randomly selected from our hospital in March 2007— December 2014 100 cases who underwent the aneurysm neck clipping of intracranial aneurysm patients. All give DSA prior to surgery or CTA auxiliary examination,diagnosis of intracranial aneurysms,line 1 month after DSA examination observe its recovery,observe the presence of residual. Results 100 cases of patients after surgery on January 3 d- DSA review,among which 90 were completely clip,complete clip rate 90%,found that drive tumor vascular stenosis( compared with before the operation) in 3 patients,artery residues in 7 cases,residual rate is 7%. In 7 cases of residual patients 2 mm and 3 mm level of 3patients were performed interventional embolization treatment again,the remaining four grade 1 mm patients keep follow- up. The seven patients present condition are good. Conclusion Residual after intracranial aneurysm clipping and carefully check before operation, surgical instruments used,intraoperative correct selection of equipment has obvious relevance,through the above process to improve and perfect,is to be able to prevent residual after intracranial aneurysm clipping.
出处
《广东微量元素科学》
CAS
2015年第7期56-59,共4页
Trace Elements Science
关键词
颅内动脉瘤
开颅动脉瘤颈夹闭术
动脉瘤颈残留
预防
intracranial aneurysm
aneurysm neck craniotomy clipping
the aneurysm neck residue
prevention
