摘要
目的 探讨颅内动脉瘤破裂出血后急诊手术夹闭术中,控制再出血的安全和有效的方法。方法 DSA造影明确诊断同时预置不可脱球囊于载瘤颈内动脉内,继行开颅清除血肿,显微手术夹闭动脉瘤。在显露瘤颈或术中再出血时充盈球囊,暂时阴断血流。结果 4例前循环HuntⅣ-Ⅴ级动脉瘤病人经治疗后DSA复查动脉瘤完全消失,3例随访1～2年,2例恢复良好,1例伴有轻瘫和语言障碍,另1例术后60d,脑积水行脑室-腹腔分流后仍昏迷,偏瘫。结论 载瘤动脉内预置不可脱球囊是保证手术顺利完成,控制再出血安全有效的方法。
Objective To explore the safe and effective method of controlling bleeding during emergent microsurgical clipping of ruptured intracranial aneurysm. Methods Once the diagnosis of ruptured aneurysm was confirmed by DSA, an indetachable balloon would be sent into the parent artery of the aneurysm before the operation for eliminating hematoma and clipping the aneurysm. Temporally blocking the blood stream by filling the balloon could be done if necessary during the surgery. Result The result of 1-2 year follow-up showed that, among the 4 cases with grade Ⅳ-Ⅴ (Hunt) whose ruptured intracranial aneurysms had been so treated, favourable recovery was obtained in 2 cases, one patient survived but suffered from mild paresis and dysphasia, the other remained unconcious. Conclusion The authors concluded that preoperative placement of indetechable balloon is an effective and safe method for controlling bleeding during intracranial microsurgery.
出处
《中国临床神经外科杂志》
2000年第4期223-224,共2页
Chinese Journal of Clinical Neurosurgery
关键词
脑动脉瘤
显微手术
球囊导管
Intracranial aneurysm Indetachable balloom Microsurgery Clipping
