摘要
目的讨论大型脑动脉瘤的安全手术治疗方法。方法本组5例:眼动脉瘤3例、大脑中动脉瘤2例;动脉瘤最大径:1例眼动脉瘤2.0cm,其余2.5～3.5cm;2例大脑中动脉瘤及1例眼动脉瘤术前均有出血。术前将带内套管的球囊导管置于颈内动脉处,术中显露部分瘤体后充盈球囊阻断供血动脉血流,经内套管逆向抽吸导管远端的动脉内血液,在瘤内压下降后安全夹闭瘤颈。结果1例大脑中动脉瘤术后对侧肢体肌力减退,经锻炼后基本恢复,其余均无神经系统定位体征。结论大型脑动脉瘤显微手术中联合应用血管内球囊导管阻断血流、逆向抽吸技术,可以有效地降低瘤内压,为安全地夹闭瘤颈、防止瘤体早破提供了有效的方法。
Objective To discuss the surgery method of giant cerebral aneurysms. Methods Including 3 of ophthalmic artery aneurysm and 2 of middle cerebral artery aneurysm with diameter 2.0 - 3. 5 cm, five cases demonstrated bleeding before surgery Foley＇ s tube with trochar was inserted into internal carotid artery, and was engorged to obstruct bloodstream temporary when the aneurysm was partly exposed . Results All have good results except contralateral hemiplegia in 1 middle cerebral artery aneurysm, and recovered after training. Conclusions Obstructing bloodstream with Foley＇s tube and reversed sucking combined with microsurgery technique can decrease intra-aneurysm pressure, and provide an utility method for giant aneurysm management.
出处
《临床神经外科杂志》
CAS
2007年第3期97-99,共3页
Journal of Clinical Neurosurgery
关键词
脑动脉瘤
血管内介入技术
逆向抽吸
cerebral aneurysms
endovascular temporary embolization
reversed sucking
