摘要
报告34例大脑中动脉瘤显微外科手术的经验,其中1例有2个动脉瘤,共计35个动脉瘤,其中大和巨型动脉瘤14个(40％),除2个大脑中动脉主干梭形动脉瘤行动脉瘤包裹,2个巨型动脉瘤行M_1阻断伴颅内外动脉吻合外,其余(88％)均做动脉瘤颈夹闭或动脉瘤切除。无手术死亡,2例术后发生神经功能缺失。平均随访6年,优良率达93.8％。对手术入路、手术方法加以讨论。
Thirty four patients with 35 middle cerebral artery aneurysms (MCAA), in which 14 (40%) were large or giant aneurysms, underwent microsurgical operations. Aneurysm clipping or ligation and/or aneurysm resection were performed in 30 cases (88%) , wrapping in 2 fusi from aneurysms at main trunk of middle cerebral artery, MI occlusion with extra- and in-tracranial artery bypass in the other 2 giant aneurysms. There was no surgical mortality. Neurological deficits occurred postoperatively in 2 patients. A follow-up study of average 6 years showed excellent and good results in 93. 8% of 32 patients (94%). The selection of surgical approaches and surgical technique are also discussed
出处
《临床神经科学》
1996年第1期28-30,共3页
Chinese Journal of Clinical Neurosciences
