眶上外侧入路在破裂前循环动脉瘤急性期显微手术中的应用研究

发布时间：2018-06-04 09:48

本文选题：眶上外侧入路 + 破裂前循环动脉瘤　；参考：《吉林大学》2016年硕士论文

【摘要】：目的:探讨眶上外侧入路在破裂前循环动脉瘤急性期(3d内)显微手术治疗中的有效性和安全性。方法:回顾性收集吉林大学中日联谊医院神经外二科2014年3月至2015年12月间,经眶上外侧入路和翼点入路急性期显微手术治疗的术前Hunt-Hess分级Ⅰ~Ⅲ级破裂前循环动脉瘤患者临床资料,包括术前Hunt-Hess分级、年龄、性别、动脉瘤部位、动脉瘤直径、手术时机、术中动脉瘤破裂率、术中输血率、去骨瓣减压率、手术时间、手术切口长度、术后住院时间、术后3月格拉斯哥预后评分等,并进行统计学分析,评价眶上外侧入路的手术效果。结果:两组患者术中动脉瘤破裂率、术中输血率、去骨瓣减压率、术后3月格拉斯哥预后评分等对比,P0.05,无统计学差异;眶上外侧入路组患者手术时间、手术切口长度、术后住院时间等明显短于翼点入路组,P0.001,具有非常显著性统计学差异。结论:眶上外侧入路在破裂前循环动脉瘤急性期显微手术中具有有效性和安全性,而且手术损伤小、手术时间短、术后恢复快;可作为翼点入路的良好替代,在Hunt-Hess分级Ⅰ~Ⅲ级的破裂前循环动脉瘤急性期显微手术中推广应用。
[Abstract]:Objective: To explore the effectiveness and safety of the superior orbital lateral approach in the acute phase of ruptured aneurysm (3D) in the acute phase (3D). Methods: a retrospective collection of preoperative Hunt-Hess for the acute phase of the upper lateral orbital approach and the acute phase of the wing point approach was collected from the two Department of external nerve in the Sino Japanese Friendship Hospital of Jilin University. Clinical data of patients with grade I ~ III pre ruptured aneurysm, including preoperative Hunt-Hess classification, age, sex, aneurysm site, aneurysm diameter, operation time, aneurysm rupture rate, intraoperative blood transfusion rate, bone flap decompression rate, operation time, incision length, postoperative hospital stay, and March Glasgow prognosis score, etc. Results: there was no statistical difference between the two groups of intraorbital aneurysm rupture rate, intraoperative blood transfusion rate, bone flap decompression rate, Glasgow prognosis score in March, and no statistical difference. The operation time, operative incision length, and postoperative hospital stay were significantly shorter in the supraorbital lateral approach group. In the pterional approach group, P0.001, there are significant statistical differences. Conclusion: the supraorbital lateral approach is effective and safe in the acute phase of ruptured aneurysm, and the operation is small, the operation time is short, and the postoperative recovery is fast. It can be used as a good substitute for the pterional approach, before the Hunt-Hess classification of grade I to grade rupture. Circulatory aneurysms in acute stage are widely used in microsurgery.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R651.12

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