摘要
目的总结颅内动脉瘤显微外科手术的经验。方法对328例病人共374个颅内动脉瘤应用显微手术夹闭瘤颈371个,包裹3个。结果术后治愈(GOS5分)266例(81.1%);自理(GOS4分)35例(10.7%);重残或植物生存(GOS3～2分)15例(4.5%);死亡(GOS1分)12例(3.7%)。结论熟练的显微手术技巧和正确的手术时机是防治动脉瘤再次出血的关键,可以有效降低动脉瘤患者的死、残率。
Objective To summarize the experience in microsurgically treating the intracranial aneurysms. Methods The clinical data of 328 patients with 374 intracranial aneurysms treated by microsurgery in recent 10 years were analyzed retrospectively. Results Of 374 aneurysms in 328 patients, 371 were successfully clipped and 3 were wrapped. Of 328 patients, 266 were recovered well （GOS, 5 points）, 35 were slightly disabled （COS, 4 points）, 15 were severely disabled or survived vegetatively （GOS, 2~3 points） and 12 died. Conclusion The skilfu] techniques and correct opportunity of microsurgery are the key to effective prevention of aneurysmal rupture and improving the prognoses in the patients with intracranial aneurysms.
出处
《中国临床神经外科杂志》
2012年第12期730-731,共2页
Chinese Journal of Clinical Neurosurgery
关键词
颅内动脉瘤
翼点入路
显微手术
Intracranial aneurysm
Pterional approach
Microsurgery
