摘要
目的探讨颅内动脉瘤破裂急性期经眉眶上锁孔入路手术的可行性及相对适应证。方法对28例颅内动脉瘤破裂急性期经眉眶上锁孔入路手术治疗病人的临床资料进行分析,着重描述该手术方法、注意点、术中动脉瘤破裂及术后脑血管痉挛发生情况。结果28例动脉瘤全部夹闭成功,其中3例术中有动脉瘤破裂出血,术后10例病人有不同程度的脑血管痉挛,其中2例为症状性脑血管痉挛。除1例大脑中动脉瘤有轻偏瘫,1例前交通动脉瘤有单侧下肢轻瘫外,其他病人恢复良好。结论绝大多数颅内动脉瘤破裂病人急性期同样适合锁孔手术,术中动脉瘤破裂和术后脑血管痉挛发生的机会同常规开颅显微手术并无明显差别。
Objective To explore the possibility and relative application of operative treatment of ruptured intracra-nial aneurysms through superior orbital key hole approach. Methods Clinical data of 28 cases with ruptured intracranial aneurysms operated by superior orbital key hole approach were analysed. The operative method, key point, aneurysmal rupture during operation and cerebral vasospasm post operation were emphatically described. Rusults 28 cases of aneurysm were successfully clipped. Among them,3 cases had aneurysmal rupture during opration and 10 cases developed some degree cerebral vasospasm post operation and 2 cases of cerebral vasospasm were symptomatic. One case of middle cerebral arterial a-neurysm had paralyse and one case of anterior communication arterial aneurysm had single leg disable. Others got good recovery during acute period. Conclusion Most of ruptured intracranial aneurysms were fit for key hole operations. The ratio of aneurysmal rupture during operation and cerebral vasospasm post operation is the same as usual craniotomy.
出处
《临床神经外科杂志》
CAS
2004年第2期66-68,共3页
Journal of Clinical Neurosurgery
关键词
颅内动脉瘤
破裂
急性期
锁孔手术
脑血管痉挛
Intracranial aneurysm Rupture Acute period Key hole operation Cerebral vasospasm
