摘要
目的探讨颅内前循环多发动脉瘤手术策略、显微手术方法和影响手术效果的因素。方法回顾性分析颈内动脉系统多发动脉瘤病人的发病情况和手术治疗效果。根据瘤囊位置将动脉瘤病人分为两组,组1多发动脉瘤位于同侧前循环,组2位于双侧前循环。结果在162例颅内动脉瘤病人中有23例颈内动脉系统多发动脉瘤病人,具有52个瘤囊,2个瘤囊18例,3个瘤囊4例,4个瘤囊1例。100%的组1病人和70%组2病人的所有动脉瘤在一次手术中夹闭。术后随访84%的病人恢复良好。结论如果有可能,颅内前循环多发动脉瘤(包括已破和未破动脉瘤)都应一次或分次手术治疗,动脉瘤的大小、术前分级、动脉瘤位置和患者年龄显著影响手术效果。
Objective To study the surgical strategy in multiple intracranial aneurysms of the anterior circulation and the effect of microsurgery on this kind of intracranial aneurysms and factors influential in prognosis. Methods A retrospective analysis was made on clinical factors and surgical outcome of patients who had multiple intracranial aneurysms of the anterior circulation during the years 2000 to 2004. The patients were classified into 2 groups according to the location of the aneurysms: multiple aneurysms locating unilaterally in the anterior circulation (group 1,14 cases) and locating bilaterally (group 2,9 cases). Results Among 162 patients with intracranial aneurysms,there were 23 with multiple aneurysms of the anterior circulation (14.2%) and 52 sacs: 18 with 2 aneurysms,4 patients 3 aneurysms,and 1 patient 4 and more. 100% of the lesions in group 1,70% in group 2 were clipped in one operation. Postoperative follow-up showed that 79% of these patients had a complete recovery. Conclusion If possible,all multiple aneurysms should be treated surgically in one stage or multiple sessions. The patient’s age,preoperative Hunt and Hess grade,the location and size of the aneurysms were significant factors in the clinical prognosis.
出处
《中华神经医学杂志》
CAS
CSCD
2005年第6期589-591,595,共4页
Chinese Journal of Neuromedicine
