摘要
目的总结基底动脉顶端动脉瘤的临床特征、手术入路和治疗效果。方法2007年1月至2011年12月在微血管多普勒监测下手术治疗基底动脉顶端动脉瘤10例，其中7例采取翼点入路和3例采取扩大翼点入路手术夹闭。结果10例患者共夹闭13个动脉瘤，切除2个动静脉畸形。9例恢复良好，1例术后1周自动出院后死亡。1例轻偏瘫患者于出院后4周恢复，2例出现动眼神经麻痹的患者均于出院后3个月内恢复。9例随访10个月-5年，均未见动脉瘤复发。结论显微手术是治疗基底动脉顶端动脉瘤重要手段。翼点入路和扩大翼点入路可以有效暴露动脉瘤。微血管多普勒在基底动脉顶端动脉瘤夹闭术中是一种直接、有效和便捷的监测方法。
Objective To summarize the clinical features of intracranial aneurysms of basilar artery apex, the surgical approaches and operative skills to treat them. Methods Of 10 patients with 13 basilar artery apex aneurysms, 7 were treated by mierosurgery via the pterional approach, and 3 via the extended pterional approach. Microvascular Doppler ultrasound was used to examine the blood flow of aneurysms and parent arteries during the surgery. Results Thirteen aneurysms were totally clipped in 10 patients, of whom, 9 were recovered well, and 1 died. One patient with postoperative light hemiplegia was recovered 4 weeks after the operation and 2 patients with oculomotor palsy were recovered 3 months after the operation. Conclusions The curative effect of microsurgery via the pterional approach or extended pterional approach on the basilar artery apex aneurysms is good. The mierovascular Doppler ultrasound examination of the blood flow of the aneurysms and parent arteries is very helpful to microsurgery for the basilar artery apex aneurysms.
出处
《中国临床神经外科杂志》
2013年第1期11-12,18,共3页
Chinese Journal of Clinical Neurosurgery
基金
江苏省医学重点学科基金项目(NO:xk2007227)
关键词
基底动脉
颅内动脉瘤
显微手术
微血管多普勒
Basilar artery
Intracranial aneurysm
Microsurgery
Microvascular Doppler ultrasound
