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颅内破裂动脉瘤的早期显微手术治疗

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摘要 目的:探讨颅内破裂动脉瘤的早期显微手术治疗,总结临床经验.方法:回顾我科2003年3月～2007年3月经早期手术治疗33例颅内破裂动脉瘤的临床资料,均在72 h内行动脉瘤夹闭术.结果:所有动脉瘤均给予夹闭,其中瘤颈夹闭31例,瘤颈夹闭+包裹4例,出院时进行GOS评分,良好28例(84.8%),差3例(9.1%),死亡2例(6.1%).随访到20例,随访3个月～3年,良好19例,差1例.结论:CTA的广泛应用有利于早期手术的开展,颅内破裂动脉瘤应早期进行显微手术治疗.娴熟的手术技巧有利于动脉瘤的暴露、术中动脉瘤破裂的预防.
作者 徐凤科 孙志刚 包金锁 陈伟 杜成华
机构地区 内蒙古民族大学附属医院神经外科
出处 《内蒙古医学杂志》 2007年第11期1359-1360,共2页 Inner Mongolia Medical Journal
关键词 蛛网膜下腔出血 颅内破裂动脉瘤 早期手术治疗
分类号 R651.12 [医药卫生—外科学]
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参考文献6

  • 1[1]Karamessini MT,Kagadis GC,Petsas T,et al.CT angiography with three dimensional techniques for the early diagnosis of intralranial aneurysms.Comparison with interartelial DSA and the surgical fiadings[J].Eur J Radiol,2004,49:212-223.
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二级参考文献10

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  • 10赵继宗,李京生,王硕,隋大立,孟国路,刘巍,孙建军.颅内动脉瘤1041例显微手术治疗临床研究[J].中华医学杂志,2003,83(1):6-8. 被引量：110

共引文献46

内蒙古医学杂志
2007年 第11期

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