摘要
目的：总结经翼点入路显微手术治疗前交通动脉瘤的临床效果，探讨经翼点入路显微手术的治疗价值。方法选择我院2009年3月～2014年9月收治的128例前交通动脉瘤患者作为研究对象，根据治疗方式分为观察组（经翼点入路显微手术治疗）62例和对照组（传统手术治疗）66例，回顾性分析两组患者的治疗效果。结果观察组治愈率32.26%，总有效率83.87%，死亡率4.84%，与对照组（治愈率21.21%，总有效率63.64%，死亡率12.12%）比较，P均＜0.05，差异具有统计学意义。结论与开颅手术相比，经翼点入路显微手术治疗前交通动脉瘤效果显著，安全性好，是较为理想的手术方案之一。
Objective To summarize the clinical effect of the microsurgical operation via pterional approach for treatment of anterior communicating aneurysms （ACA）, to explore the therapeutic value of microsurgical operation via pterional approach. Methods From 2009 March to 2014 September, 128 cases with ACA in Lingyuan Central Hospital were elected as the research object, according to the treatment methods, they are randomly divided into observation group （the microsurgical operation via pterional approach, 62 cases） and the control group （conventional operation 66 cases）, clinical curative effect were retrospectively analyzed between the two groups. Results In the observation group, the cure rate was 32.26%, the total efifciency was 83.87%, the mortality was 4.84%, and the control group （the cure rate was 21.21%, the total efifciency was 63.64%, the mortality was 12.12%）, P〈0.05, the difference has statistical signiifcance. Conclusion Compared with craniotomy operation, the microsurgical operation pterional approach for treatment of ACA has remarkable clinical curative effect, it is one of the ideal operation scheme.
出处
《中国继续医学教育》
2015年第6期59-60,共2页
China Continuing Medical Education
关键词
经翼点入路
显微手术
前交通动脉瘤
Pterional approach
Microsurgical operation
Anterior communicating aneurysms
