摘要
目的探讨经前额纵裂入路治疗前交通动脉瘤的临床效果。方法回顾性分析前交通动脉瘤病人16例临床资料,均采用经前额纵裂入路开颅,显微镜下动脉瘤夹闭术。结果16例患者术后恢复良好,无手术致残及死亡者。10例术后行全脑DSA检查,并证实动脉瘤颈夹闭完全。结论前额纵裂入路治疗前交通动脉瘤具有手术野暴露好,病灶周围组织损伤小,且在术中可控制双侧大脑前动脉A1段等优势,值得推广。
Objective To study the clinical effects of treatment for anterior communicating artery aneurysm through forehead interhemispheric approach. Methods Clinical materials of 16 patients with anterior communicating artery aneurysm were analyzed retrospectively. In these studies, all cases were treated by intracranial aneurysm clipping through forehead interhemispheric approach under microscopy. Results Sixteen cases had a good postoperative recovery with no disability and death from surgery. Ten cases with cerebral DSA confirmed to complete occlusion of carotid artery aneurysm. Conclusion Treating anterior communicating artery aneurysm through forehead interhemispheric approach has the advantage of good operating field exposure, less damage to the tissue perilesional, and together with the superiority of controlling the section Al of both side anterior cerebral artery during operation, so it deserves clinical generalization.
出处
《中国实用神经疾病杂志》
2009年第13期18-19,共2页
Chinese Journal of Practical Nervous Diseases
关键词
前交通动脉瘤
前额纵裂入路
动脉瘤夹闭术
Anterior communicating artery aneurysm
Forehead interhemispheric approach
Artery aneurysm clipping
