摘要
目的 探讨颅内动脉瘤的微侵袭治疗方法和临床效果。方法 对 74例颅内动脉瘤分别采用显微手术和血管内治疗的方法进行治疗 ,并用格拉斯哥结果量表 (GOS)评定治疗效果。结果 48例血管内治疗和 2 6例显微手术患者中 ,术后早期恢复良好者分别为 43和 18例 ,轻度残疾 2和 2例 ,重度残疾 2和 3例 ,死亡 1和 3例。术后 6～ 12个月有 2 4例得以随访 ,恢复良好 2 1例 ,重度残疾 3例 ,无死亡病例。结论 根据动脉瘤的大小、部位以及手术者的经验采取两种不同的微侵袭治疗方法 。
Objective To evaluate the clinical outcomes of minimally invasive treatment of intracranial aneurysms. Methods A total of 74 patients with intracranial aneurysms received microsurgery and endovascular treatment. Glasgow outcome scale (GOS) was used to evaluate the clinical effects. Results At the time of hospital discharge, satisfactory early recovery was found in 61 cases, mild disability in 4 cases and severe disability in 5 cases, but 4 patients died. A follow up of 24 patients for 6 to 12 months revealed satisfactory recovery in 21 cases and severe disability in 3 cases. Conclusion Different minimally invasive methods selected according to the size and location of the intracranial aneurysms as well as the experiences of the operators may result in satisfactory therapeutic efficacy in the treatment of intracranial aneurysms. Microsurgery combined with endovascular technique is the optimal option for the treatment of intracranial aneurysms in the future.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2003年第20期1812-1814,共3页
Journal of Third Military Medical University
关键词
颅内动脉瘤
微侵袭
intracranial aneurysm
minimally invasive
therapy
