摘要
目的:探讨前交通动脉(ACoA)动脉瘤经眶上锁孔入路手术夹闭的手术技术、安全性和相对适应证。方法:总结27例经眉弓眶上锁孔入路手术治疗的ACoA动脉瘤临床资料,着重阐述手术方法、术中动脉瘤破裂处理及手术适应证。结果:27例动脉瘤全部一次手术夹闭成功,但其中有5例术中动脉瘤破裂,3例合并脑积水者行脑室-腹腔分流术,1例死亡。27例患者均未出现手术入路相关并发症。19例数字减影血管造影或CT血管造影随访显示夹闭良好。结论:眶上锁孔入路显微外科手术是治疗ACoA动脉瘤的一种有效、安全的微创方法。
Objective： To investigate the surgical technique, safety and relative indications of anterior communicating artery （ACoA） aneurysm via supraorbital keyhole approach. Methods： The clinical data of 27 patients with ACoA aneurysm treated via tram-superciliary arch supraorbital keyhole approach were summarized. The operative methods, management of intraoperative aneurysm rupture and indications of operation were emphatically elaborated. Results： All the aneurysms in 27 patients were successfully clipped with only one surgery, but intraoperative aneurysm ruptured in 5 patients. Ventriculo-peritoneal shunt were performed in 3 patients complicated with hydrocephalus, and one died. No operative approach-related complications occurred in the 27 patients. Digital subtraction angiography or CT angiography follow-up in 19 patients showed that the clipping was well done. Conclusions： Microsurgery via supraorbital keyhole approach is a safe, effective and minimally invasive method for the treatment of ACoA aneurysms.
出处
《中华脑血管病杂志（电子版）》
2008年第1期9-11,共3页
Chinese Journal of Cerebrovascular Diseases(Electronic Edition)
基金
福建省青年科学基金(No.A0200063)
厦门市卫生局重点资助课题(No.WSK0508)
关键词
眶上锁孔入路
颅内动脉瘤
前交通动脉
supraorbital keyhole approach
intracranial aneurysm
anterior communication artery
microsurgery
