摘要
目的探讨前交通动脉瘤栓塞和手术的风险、难度及其适应证。方法186例前交通动脉瘤患者，治疗前分析开颅夹闭和栓塞的风险及难度，并结合患者及家属意见确定治疗方案。经翼点入路开颅夹闭58例，经颅-眶入路夹闭8例，经血管内弹簧圈栓塞120例。结果开颅手术组术后肢体活动障碍2例，死亡3例。弹簧圈栓塞组术后肢体活动障碍2例，死亡3例，再出血1例。结论不同患者栓塞和手术夹闭风险各异，术前风险评估是确定治疗方案的重要依据。
Objective To evaluate the risk, difficulty and indication of clipping and coiling for anterior communicating artery aneurysms （AcomA）. Method 186 patients with AcomA were treated. We chose the treatments options according the risk and difficulty. Fifty - eight cases were treated with clipping through pterional approach ,8 through orbitoeranial approach and 120 with coil embolization. Results Of the 66 patients with clipping,2 were left with procedure -related hemiparalysis and 3 died. Of the 120 patients with coil embolization, 2 were left with procedure - related neurological deficits, 3 died and 1 rebleeding. Conclusions There is different risk and difficulty in different cases with different therapy. The evaluation of the risk is important basis for decision of treatment option.
出处
《中华神经外科杂志》
CSCD
北大核心
2010年第1期18-20,共3页
Chinese Journal of Neurosurgery
基金
基金项目：国家自然科学基金资助课题（30772248）
关键词
颅内动脉瘤
外科手术
栓塞
Intracranial aneurysm
Surgical procedures,operative
Embolism
