摘要
目的 :探讨颅内动脉瘤诊断和手术时机的选择 ,以提高手术疗效。方法 :对 37例术前经CT、MRI和数字减影血管造影 (DSA)确诊的以及 3例术中证实的颅内动脉瘤行显微外科手术治疗 ,34例行动脉瘤夹闭术 ,4例行动脉瘤切除术 ,1例行动脉瘤孤立术 ,1例行动脉瘤包裹术。结果 :治疗效果优良者 2 8例 ,轻残 5例 ,重残 3例 ,死亡 4例。结论 :CT、MRI可为诊断颅内动脉瘤提供重要依据 ,DSA是必不可少的决定性检查 ,对于Hunt和Hess分级为Ⅰ～Ⅱ级尽快手术 ,Ⅳ～Ⅴ级待病情好转后再手术 ,应尽量避免动脉瘤破裂出血后第 4～
Objective:To study the diagnostic procedures and operative time in the treatment of patients with intracranial aneurysms in order to improve the effect.Methods:All patients had been microsurgically treated,among which 37 cases were confirmed preoperatively by CT,MRI and digital substract angiography(DSA) and 3 cases were attested during the operations.Aneurysms were clipped in 34 cases,removed in 4 cases,trapped in 1 case,and wrapped in 1 case.Results:Outcome was considered good in 28 cases,fair in 5 cases,poor in 3 cases and dead 4 cases.Conclusions:CT and MRI provide important evidences for the diagnosis of intracranial aneurysms,but DSA is decisive.The patients with Hunt and Hess Ⅰ-Ⅱ grade should be operated as soon as possible,while the patients with Ⅳ-Ⅴ grade should be operated after the amelioration of the condition,and it is needful to avoid operation during 4～10 days after the bleeding of aneurysms rupture.
出处
《广西医学》
CAS
2002年第6期787-789,共3页
Guangxi Medical Journal
