[1]杨磊,赵海康,董西朝,等.一期单侧开颅夹闭颅内双侧5枚动脉瘤1例报告及文献复习[J].临床神经外科杂志,2018,15(04):272-281.
　YANG Lei,ZHAO Hai-kang,DONG Xi-chao,et al.Five intracranial aneurysms clipping by unilateral craniotomy(one case report and review of literature)[J].Journal of Clinical Neurosurgery,2018,15(04):272-281.
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一期单侧开颅夹闭颅内双侧5枚动脉瘤1例报告及文献复习()
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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04期
页码:
272-281
栏目:
脑血管专题
出版日期:
2018-08-15

文章信息/Info

Title:
Five intracranial aneurysms clipping by unilateral craniotomy(one case report and review of literature)
作者:
杨磊; 赵海康; 董西朝; 谢万福
710038 西安,西安医学院第二附属医院神经外科（杨磊，赵海康，董西朝）；西安交通大学第一附属医院神经外科（谢万福）
Author(s):
YANG Lei; ZHAO Hai-kang; DONG Xi-chao; et al.
Department of Neurosurgery,the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038,China
关键词:
颅内多发动脉瘤; 显微外科手术; 单侧
Keywords:
intracranial multiple aneurysms; microsurgery; unilateral
分类号:
R739.41
文献标志码:
A
摘要:
目的 探讨颅内多发动脉瘤的治疗方法和原则；提高对颅内多发动脉瘤的治疗水平。方法 回顾性分析1例颅内双侧5枚动脉瘤患者一期单侧开颅夹闭手术治疗经过及术后恢复情况；并结合相关文献分析颅内多发动脉瘤的诊断与治疗。结果 行经翼点入路一期单侧开颅夹闭了5枚颅内动脉瘤（右侧大脑中动脉2枚，前交通动脉1枚，左侧大脑中动脉2枚），手术顺利。术后患者无神经功能缺损。结论 颅内多发动脉瘤占动脉瘤总发病率约10%~15%，一期开颅手术治疗可以一次解除动脉瘤破裂的风险，且可以避免多次手术对患者生理及心理造成的创伤。
Abstract:
Objective To investigate the therapeutic method and principle of intracranial multiple aneurysms and to improve the treatment level of intracranial multiple aneurysms.Methods Combined with relevant literature analysis of MIA diagnosis and treatment,one patient with 5 bilateral intracranial aneurysms by unilateral craniotomy clipping and postoperative recovery was analyzed retrospectively.Results One patient with 5 intracranial aneurysms discovered by accident,underwent unilateral craniotomy clipping.The operation was successful,postoperative recovery was good without neurological deficit.Conclusion MIA accounts for about 10%~15% of the total incidence of aneurysms.One stage craniotomy can relieve the risk of aneurysm rupture at one time and avoid the physical and psychological trauma caused by multiple operations.

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更新日期/Last Update: 1900-01-01