[1]范宏军,黄永凯,罗伟,等.小脑后下动脉动脉瘤的显微外科治疗[J].临床神经外科杂志,2017,14(01):35-37.
 FAN Hong-jun,HUANG Yong-kai,LUO Wei,et al.Microsurgical treatment of the posterior inferior cerebellar aneurysms[J].Journal of Clinical Neurosurgery,2017,14(01):35-37.
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小脑后下动脉动脉瘤的显微外科治疗()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
14
期数:
2017年01期
页码:
35-37
栏目:
论著
出版日期:
2017-02-08

文章信息/Info

Title:
Microsurgical treatment of the posterior inferior cerebellar aneurysms
作者:
范宏军黄永凯罗伟朱卫华韩德清
412000株洲,株洲市中心医院
Author(s):
FAN Hong-junHUANG Yong-kaiLUO Weiet al.
Department of Neurosurgery,Central Hospital of Zhuzhou Zhuzhou 412000,China 
关键词:
显微外科治疗小脑后下动脉动脉瘤
Keywords:
microsurgical treatment posterior inferior cerebellar aneurysms
分类号:
R739.41
文献标志码:
A
摘要:
目的:探讨小脑后下动脉(PICA)动脉瘤的临床特点及手术方法。方法:回顾性分析株洲市中心医院2008年3月~2014年10月采用显微外科手术治疗的11例PICA动脉瘤患者的临床资料。结果:11例PICA动脉瘤患者中,1例患者行颅内动脉瘤夹闭术后动脉瘤再次破裂死亡;其余10例患者均手术成功,随访3个月至2年,其中出院时预后良好者7例,预后不良2例,死亡1例。结论:熟练的区域解剖,个性化的手术入路,PICA分支及脑干穿支的有效保护,可以明显提高PICA动脉瘤的显微手术治疗效果。
Abstract:
Objective:To explore the clinical characteristics and surgical management of posterior inferior cerebellar aneurysms (PICA).Methods::The clinical data of 11 cases of ruptured posterior inferior cerebellar aneurysms selected from March 2008 to October 2014 as the research object in our hospital,to retrospectively analyze clinical data before and after treatment with the application of intracranial aneurysm clipping.Results:11 cases of PICA aneurysm patients,1 cases of patients died after intracranial aneurysm clipping by rupture of aneurysm,the remaining 10 patients were all successful operation,The following-up from 3 months to 2 years showed that 7 were recovered well,2 were recovered badly and 1 died.Conclusion:Skilled regional anatomy,individualized strategies,the arterial branches protection of posterior inferior cerebellar and brain stem play a important role in microsurgical treatment effect of the posterior inferior cerebellar aneurysms.

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[1]余鹏霄,马晓东,张猛,等.恶性脑膜瘤的临床特点及诊疗体会[J].临床神经外科杂志,2015,(03):220.
[2]熊启江,虞正权.术前部分栓塞联合显微手术切除Ⅲ至Ⅴ级脑动静脉畸形的疗效分析[J].临床神经外科杂志,2014,(03):187.
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备注/Memo

备注/Memo:
湖南省卫生计生委科研基金(B2015-160)
更新日期/Last Update: 2017-02-15