联合术前CTA、TCD及术中MVD辅助治疗眼动脉瘤（附17例报告）

发布时间：2018-03-23 01:10

本文选题：动脉瘤　切入点：颈内动脉眼动脉段　出处：《苏州大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的探讨术前经颅多普勒超声(TCD)、CT血管造影(CTA)及术中微血管多普勒超声(MVD)对于床突旁颈内动脉眼动脉段动脉瘤手术的辅助价值。方法回顾性分析我院2009年7月到2012年6月共17例床突旁颈内动脉眼动脉段动脉瘤临床资料,其中男5例,女12例,术前行完善的TCD及CTA检查,经翼点入路开颅行动脉瘤夹闭术,术中使用MVD辅助动脉瘤夹闭。结果术后随访3-29月,平均14.3月,17例患者中,16例均获得满意疗效,1例留有轻偏瘫,术后行CTA和(或)DSA复查均示动脉瘤夹闭完全,载瘤动脉通畅。结论完善的TCD及CTA检查能提高手术的成功率,避免盲目探查,增加手术的安全性。而术中MVD的监测能指导动脉瘤的夹闭,减少患者致死、致残率,改善患者预后。
[Abstract]:Objective to evaluate the value of preoperative transcranial Doppler echocardiography (TCD-CT) and intraoperative microvessel Doppler ultrasonography (MVD) in the operation of segmental carotid artery aneurysms in parastoid internal carotid artery. Methods from July 2009 to June 2012, 17 patients (5 males and 12 females) with ophthalmic artery aneurysms of internal carotid artery beside the clinoid process were examined by TCD and CTA. Aneurysm clipping was performed via pterygotomy and MVD assisted aneurysm clipping was used. Results all the 17 patients were followed up for 3 to 29 months, 16 of them had satisfactory curative effect and 1 had hemiplegia. The results of CTA and / or DSA showed that the aneurysm was completely clipped and the aneurysm was unobstructed. Conclusion TCD and CTA can improve the success rate of operation, avoid blind exploration and increase the safety of operation, while the monitoring of MVD during operation can guide the occlusion of aneurysms, reduce the death rate and disability rate of patients, and improve the prognosis of the patients.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R739.7

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