摘要
目的探讨多发性颅内动脉瘤(MIA)的一期双侧开颅手术治疗及其疗效。方法采用冠状切口一期双侧开颅手术治疗MIA患者23例,共48个动脉瘤,其中夹闭动脉瘤45个,包裹动脉瘤3个。结果术后复查DSA或CT血管造影均示动脉瘤夹闭满意。术后肢体偏瘫5例,脑脊水6例,均经治疗后好转。术后随访5月～5年,患者恢复良好20例,中残3例;本组无死亡病例,无动脉瘤复发。结论对于需双侧开颅才能完全处理的MIA,术前经充分评估后,采用一期双侧开颅手术是安全有效的。
Objective To study the operative method to treat multiple intracranial aneurysms and curative effect of the surgery on them.Methods Twenty-three patients with multiple intracranial aneurysms who had 48 aneurysms were treated by bilateral craniotomy with coronary scalp incision at one-stage.Of 48 aneurysms,45 were successfully clipped and 3 were wrapped.Results Of 23 patients,20 were recovered well and 3 were moderately disabled.No patients died.Conclusions The bilateral craniotomy at one-stage were safe and effective after the disease condition and operation were preoperatively evaluated fully in the patients with multiple intracranial aneurysms who need to be treated by craniotomy.
出处
《中国临床神经外科杂志》
2011年第6期321-323,共3页
Chinese Journal of Clinical Neurosurgery
关键词
多发性颅内动脉瘤
双侧开颅
一期手术
疗效
Multiple intracranial aneurysms
Surgical treatment
Bilateral craniotomy
One-stage
