摘要
目的 探讨显微外科治疗颈内动脉床突及床突旁动脉瘤的手术技巧、预后及手术适应证。 方法 对 1 0例颈内动脉床突及床突旁动脉瘤患者的临床资料及随访结果进行了回顾性分析。其中 ,床突动脉瘤 3个 ,眼动脉瘤 5个 ,垂体上动脉瘤 2个 ,颈内动脉下壁动脉瘤 1个。 结果患者预后 ,优 7例、良 2例、1例死于术后缺血 ,患者随访时间从 3～ 1 4个月不等 ,平均 7 3个月。除死亡 1例外 ,其余 9例患者均于术后住院期间经脑血管造影复查 ,夹闭满意。 结论 颈内动脉床突及床突旁动脉瘤宜首选手术夹闭 。
Objective To explore the microsurgical treatment of the clinoid and paraclinoid ICA aneurysms we analyzed operative techniques, outcome, and indication. Methods Clinical data and follow up outcome of 10 the clinoid and paraclinoid ICA patients were reviewed. In this study there were 3 patients with clinoid ICA aneurysms, five with ophthalmic aneurysms, two with superior hypophyseal aneurysms and one with posterior ICA wall aneurysm. Results On follow up (3-14 months, mean 7 months), 7 patients were in an excellent condition and two in a good condition; and one died of stroke postoperatively. Patients were clipped satisfactorily, as confirmed by postoperative angiogram in hospital except that one patient died of stroke. Conclusions Clinoid and paraclinoid ICA aneurysms were surgical indications. Further clarifications of aneurysms and their indications can improve outcome.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2003年第7期520-522,共3页
Chinese Journal of Surgery
