摘要
目的探讨经翼点锁孔入路治疗前循环动脉瘤的可行性和手术方法。方法对18例前循环动脉瘤采用经翼点锁孔入路进行夹闭术,其中后交通动脉动脉瘤9例、大脑中动脉动脉瘤3例、前交通动脉动脉瘤6例。患者Hunt-Hess临床分级均在Ⅲ级以内。结果均获得成功夹闭,术后无面神经损伤表现,平均手术时间缩短1￣2h。1例左后交通动脉瘤术中破裂,术后出现一过性感觉和运动性失语。结论经过慎重的选择病例以及术前周密的手术设计,经翼点锁孔入路治疗前循环动脉瘤是一种较理想的术式。
Ohjective To investigate the feasibility of pterion keyhole approach with minimal invasion threatment of the anterior circulation aneurysm. Method Aneurysm clipping througb the pterion keyhole approach was performed in patients with anterior circulation aneurysms. including 9 with postcrior communication artery aneurysms. 3 with middle cerebral artery aneurysms and 6with anterior communication artery aneurysms, who were in stages Ⅰto Ⅲ according to Hunt-Hess scale.Result All the aneurysms were clipped successfully. One patient with a left posterior communication artery aneurysm developed transient sensory aphasia and motor aphasia after surgery due to intraoperative aneurysm rupture. No facial paralysis occurred due to damage of the facial nerve. Conclusion The pterion Keyhole approach is a very useful surgical approach for treatment of antcrior circulation anerysms on the basis of cautious determination of indications and careful operation planning,.
出处
《第一军医大学学报》
CSCD
北大核心
2005年第12期1546-1548,1551,共4页
Journal of First Military Medical University
