[1]明智绪,冯进,乔艳玲,等.单侧入路显微手术夹闭颅内多发动脉瘤的疗效分析[J].临床神经外科杂志,2018,15(04):282-291.
 MING Zhi-xu,FENG Jin,Qiao Yan-ling,et al.Unilateral approach to clip multiple intracranial aneurysms by microsurgery[J].Journal of Clinical Neurosurgery,2018,15(04):282-291.
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单侧入路显微手术夹闭颅内多发动脉瘤的疗效分析()
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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:
282-291
栏目:
脑血管专题
出版日期:
2018-08-15

文章信息/Info

Title:
Unilateral approach to clip multiple intracranial aneurysms by microsurgery
作者:
明智绪冯进乔艳玲万定杨振兴朱辰路黄德俊李宗正
750004 银川,宁夏医科大学总医院神经外科
Author(s):
MING Zhi-xuFENG JinQiao Yan-linget al.
Department of Neurosurgery,General Hospital of Ningxia Medical University,Yinchuan 750004,China
关键词:
颅内多发动脉瘤显微手术疗效并发症
Keywords:
multiple intracranial aneurysmsmicrosurgerycurative effectcomplication
分类号:
R732.2+1
文献标志码:
A
摘要:
目的 探讨单侧入路夹闭颅内多发动脉瘤的方法及疗效。方法 回顾性分析宁夏医科大学总医院神经外科2015年1月至2017年9月,16例行单侧入路显微手术夹闭颅内多发动脉瘤患者(共35枚动脉瘤)的临床资料。手术经一侧翼点入路,先夹闭破裂动脉瘤,再处理未破裂动脉瘤。术后随访6个月到1年,采用格拉斯哥预后量表(GOS)评分评定预后。结果 本组16例患者的35枚动脉瘤均一期手术全部夹闭。术后恢复良好12例,轻度残疾1例,重度残疾1例,植物生存1例,死亡1例;GOS评分4~5分者13例,预后良好率为81.2%。结论 在明确责任动脉瘤前提下,根据患者实际情况选择单侧入路一期夹闭颅内多发动脉瘤,手术成功率高,预后良好。但需要注意对手术并发症的预防及治疗。
Abstract:
Objective To explore the technique,complication and prognosis of clipping multiple intracranial aneurysms(MIA) through unilateral approach.Methods The clinical data of all patients with MIA,treated by unilateral approach microsurgery from May 2015 to September 2017 at our hospital,were collected.There were 16 patients(35 aneurysms).Ruptured aneurysms were clipped first,unruptured aneurysms second.Results 35 aneurysms were clipped by single-stage unilateral microsurgery.12 cases were fine.1 case was with mild disability.1 case was with severe disability.1 case was vegetative survived.1 case was dead.On the basis of the Glasgow Outcome Score,good results (GOS:4-5) were 13 cases.Good prognosis accounted for 81.2%.Conclusions The method of unilateral approach microsurgery to clip the MIA can avoid risk and inconvenience associated with a separate craniotomy at different stage.And it's very important to judge the responsible aneurysms correctly before and in operation.However,attention should be paid to the prevention and treatment of postoperative complication.

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更新日期/Last Update: 1900-01-01