经眶上外侧入路治疗颈内-后交通动脉瘤

发布时间：2017-12-27 00:06

本文关键词：经眶上外侧入路治疗颈内-后交通动脉瘤　出处：《中华神经外科疾病研究杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨颈内-后交通动脉动脉瘤的显微外科治疗。方法回顾分析我科2012年1月至2014年10月经眶上外侧小骨瓣入路显微手术治疗的24例颈内-后交通动脉动脉瘤的临床资料。结果 24例患者共夹闭26个动脉瘤,出院后3月随访根据GOS评分进行预后评价,21例患者优,1例患者良,1例患者极差,1例死亡。结论眶上外侧入路处理颈内-后交通动脉动脉瘤具有切口短,骨瓣小,入路快,失血少,脑组织暴露少的优点。
[Abstract]:Objective to investigate the microsurgical treatment of internal carotid artery aneurysms. Methods the clinical data of 24 patients with internal carotid posterior communicating artery aneurysm treated by microsurgery from January 2012 to 2014 10 in our department were retrospectively analyzed. Results a total of 26 aneurysms were clipped in 24 patients. After discharge, they were followed up in March. According to the GOS score, the prognosis was evaluated. 21 patients were excellent, 1 patients were good, 1 patients were very poor, 1 patients died. Conclusion the superior orbital lateral approach for the treatment of internal carotid artery aneurysms has the advantages of short incision, small bone flap, fast approach, less blood loss and less brain tissue exposure.
【作者单位】：重庆市江津区中心医院神经外科;
【基金】：重庆市卫生和计划生育委员会医学科研基金资助项目(20142186)
【分类号】：R651.1
【正文快照】： 最新统计显示脑动脉瘤在普通人群中平均发病率可达2%[1,2],而颈内动脉-后交通动脉动脉瘤(posterior communicating artery aneurysm,PCOA)是颅内最好发的动脉瘤,其发病率高达40%~45%[3]。一旦破裂具有较高的死亡率、致残率。显微手术夹闭动脉瘤仍是治疗动脉瘤的重要方式,其手

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