摘要
目的 总结颅内动脉瘤的手术治疗和并发症防治的经验。方法 回顾性分析了73例颅内动脉瘤患者的临床资料、手术方式、预后及并发症。结果73例共76个动脉瘤。2例术前死亡,手术成功夹闭73个,包裹梭形动脉瘤1个。Glasgow预后分级(GPS):Ⅰ级4例,Ⅱ级7例,Ⅳ级6例,Ⅴ级56例。结论数字减影血管造影(DSA)及三维CT血管造影(3D-CTA)均可有效诊断颅内动脉瘤,且3D-CTA有助于手术前了解动脉瘤与载瘤动脉及周围血管的关系;翼点入路及纵裂入路可有效治疗常见的颅内动脉瘤。积极防治其并发症是手术成功的关键;急性脑积水应早期应用脱水剂,配合腰穿或腰穿持续引流释放血性脑脊液;慢性脑积水应及时行V-P分流。
Objective To summarize the experience of surgical treatment of intracranial aneurysms and the prevention and cure of post-operation complications. Methods Retrospectively analyse clinical data, surgical procedures, prognostic data and complications of 73 cases-Results Among 76 aneurysms in 73 patients, 2 patients died before surgery. 73 aneurysms were clipped successfully, one fusiform shaped aneurysm was wrapped. Grade Ⅰ , Ⅲ , Ⅳ and Ⅴ of Glasgow Prognostic Scale (GPS)is 4,7,6,56 cases in this group respectively. Conclusions Digital subtraction angiography (DSA) and 3-dimensinal-TAC (3D-CTA)are all effective methods in diagnosing intracranial aneurysms, and 3D-CTA are helpful in comprehending the relationship between aneurysm parent artery,and surrounding artery;pterion approach and translongltudinal cerebral fissure approach can effective therapy the commom incranial anterior circulating aneurysms. The prevention and cure of complications is the key of the surgery.
出处
《山东医药》
CAS
北大核心
2004年第30期10-11,共2页
Shandong Medical Journal
