摘要
目的:观察经翼点入路显微外科手术治疗前交通动脉瘤的疗效。方法:回顾性分析121例前交通动脉瘤的临床资料。按Hunt-Hess分级,Ⅰ级27例,Ⅱ级52例,Ⅲ级28例,Ⅳ级14例。首次出血88例,2次出血24例,≥3次出血9例,均行翼点入路动脉瘤夹闭术。结果:Ⅰ～Ⅱ级患者良好率显著高于Ⅲ级、Ⅳ级患者(P<0.05);首次出血患者良好率显著高于2次出血患者(P<0.05);2次出血良好率显著高于≥3次出血患者(P<0.05)。结论:翼点入路显微外科手术治疗前交通动脉瘤总良好率较高,Ⅰ～Ⅱ级及首次出血患者疗效好,对患者进行合理的术前分级及病情分析可显著降低病死率及病残率。
To observe the healing efficacy of transpterional approach for microsurgical treatment of anterior communi- cating aneurysms. Methods：Clinical data of 121 cases with anterior communicating aneurysms were carried a retrospective analysis. According to Hunt-Hess grade, these patients were classified as I grade （27 cases）, Ⅱ grade （52 cases）, Ⅲ grade （28 cases）, and Ⅳgrade （14 cases）. The first time cerebral were 88 cases. And 24 cases were bleeded again. Thus out of three times were 9 cases. All the patients underwent pterional approach in aneurysm clip surgery. Results：The effective rate of Ⅰ-Ⅱ grade patients were sig- nificantly higher than that of Ⅲ-Ⅳ grade patients（P〈0.05）. The effective rate of the first time cerebral patients were remarkably higher than that of the second time cerebral patients（P〈0. 05）. However the effective rate of the second time cerebral patients were higher than that of the three times over cerebral patients （P〉0.05）. Conclusions：The total effective rate of transpterional approach for microsurgical treatment of anterior communicating aneurysms was fine. The healing efficacy of Ⅰ-Ⅱgrade and the first time cer- ebral patients were better than others. It may release the rate of physical disability and death by classifying grade of patients and analyzing the clinical data before surgery.
出处
《内蒙古中医药》
2012年第15期1-2,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
翼点
前交通动脉瘤
动脉瘤夹闭术
transpterional
anterior communicating aneurysms
aneurysrn clip surgery
