摘要
目的 探讨颅内动脉瘤诊断和治疗方法与治疗时机的选择,提高手术疗效。方法 对172例颅内动脉瘤行手术夹闭。其中18例行显微手术夹闭,21例在出血后三天内早期手术。结果 优126例,良32例,差6例,植物生存1例,死亡7例(5例死于1991年前)。显微手术无死亡。早期手术疗效满意。结论 CT、MRI、MRA为临床提供重要信息,TCD可作为无创性筛选,DSA为决定性检查。翼点入路显微手术操作和技术熟练配合良好的手术组是手术成功的保证,早期手术治疗和术后正确处理十分重要。
Objective To evaluate the diagnostic arid therapeutic measures in management of intracranial arieurysms so as to properly choose the right moment for operation and improve the therapeutic effect on the disease. Methods Clinical data from 172 cases with intracranial aneurysms were analyzed retrospectively and surgical therapeutic outcomes were evaluated. Results Of the 172 surgically treated cases, 18 received the microsurgical clipping techniques and surgery was performed early within tliree days after the presentation of hemorrhage in 21 patients. Satisfactory results were obtained in 126 cases, favourable in 35 and poor in 3; one patient remained unconscious and another 7 patiens died (Among them, 5 patients died before 1991) , no patient died of the surgery. Couclusions Early microsurgery combining with proper post-operative management was the key to successful treatment of the patients with intracranial aneuiyms. Transpterional approach coupled with skilled microsurgical techniques would provide insurance for dealing with these patients.
出处
《中国临床神经外科杂志》
2000年第1期13-15,共3页
Chinese Journal of Clinical Neurosurgery
关键词
脑动脉瘤
显微外科手术
治疗
Cerehral aneurysm Microsurgery Treatment outcome
