[1]包爱军,赵凌,朱读伟,等.颅内多发动脉瘤的显微手术治疗[J].临床神经外科杂志,2018,15(01):17-21.[doi:10.3969/j.issn.1672-7770.2018.01.004]
 BAO Ai-jun,ZHAO Ling,ZHU Du-wei,et al.Microsurgical treatment of multiple intracranial aneurysms[J].Journal of Clinical Neurosurgery,2018,15(01):17-21.[doi:10.3969/j.issn.1672-7770.2018.01.004]
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颅内多发动脉瘤的显微手术治疗()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年01期
页码:
17-21
栏目:
动脉瘤专题
出版日期:
2018-02-15

文章信息/Info

Title:
Microsurgical treatment of multiple intracranial aneurysms
作者:
包爱军赵凌朱读伟郑昀旭王新栋刘厚强丁允波李祥
221000 徐州,徐州医科大学附属医院神经外科(包爱军,赵凌,郑昀旭,王新栋,刘厚强,丁允波,李祥);安徽医科大学第一附属医院神经内科ICU(朱读伟
Author(s):
BAO Ai-junZHAO LingZHU Du-weiet al.
Department of Neurosurgery,the Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China
关键词:
颅内多发动脉瘤显微手术治疗
Keywords:
multiple intracranial aneurysmsmicrosurgreytreatment
分类号:
R743.9
DOI:
10.3969/j.issn.1672-7770.2018.01.004
文献标志码:
A
摘要:
目的 探讨颅内多发动脉瘤显微手术治疗的策略、手术时机及效果。 方法 回顾性分析2014年12月至2017年6月,采用显微手术治疗的30例颅内多发动脉瘤患者的临床资料。其中男6例,女24例;年龄38~79岁,平均年龄56.13岁。手术策略包括一期手术(一次手术处理所有动脉瘤),二期手术(分期手术处理全部动脉瘤)及部分治疗(仅处理责任动脉瘤)。全部患者术前均行头颅CT血管成像(CTA)或DSA检查;术后用格拉斯哥预后量表(GOS)评分进行疗效评定。结果 一期手术者20例,二期手术者3例,部分治疗者7例。GOS评分5分(恢复良好)者20例,4分(轻度残疾)3例,3分(重度残疾)4例,2分(植物生存)1例,1分(死亡)2例。 结论 颅内多发动脉瘤的显微手术治疗较复杂;应制订个性化的手术方案,优先处理责任动脉瘤,选择合适的手术时机尽早手术,一期手术与二期手术相结合,可达到最佳的治疗效果。
Abstract:
Objective To discuss the surgical strategy,operation time and the operation effect of multiple intracranial aneurysms(MIA).Methods The clinical data of 30 patients with MIA underwent microsurgery from December 2014 to June 2017 were analyzed retrospectively.Of 30 patients,6 were male and 24 were female.Patients aged from 38 to 79,the average age was 56.13 years old.Surgical strategies included one-stage operation(all aneurysms were treated by one operation),two-stage operation(aneurysms were treated stage by stage)and partial treatment(only ruptured aneurysm was treated).All patients underwent CTA or DSA before surgery.They were evaluated by the Glasgow prognostic scale (GOS) after operation.Results 20 patients underwent one-stage operation,3 underwent two-stage operation and 7 underwent partial treatment.According to GOS,20 patients had good recovery),3 slightly disabled,4 severely disabled,1 vegetative state and 12 died.Conclusions Microsurgical treatment of MIA is very complicated,the individualized treatment protocols should be developed.We should give priority to ruptured aneurysm,choose the right opportunity for surgery as soon as possible,combine the one-stage operation with the two-stage operation.Only in this way can we achieve the best treatment effect.

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更新日期/Last Update: 1900-01-01