前交通动脉瘤的显微技术及并发症的防治

The application of microsurgery technology in diagnosis and the treatment of anterior communicating aneurysm and the prevention of its complications

目的探讨前交通动脉瘤直接手术技术及术后并发症的预防。方法报告前交通动脉瘤16例,占同期颅内动脉瘤的25%。14例行颅内动脉瘤直接手术,其中动脉瘤夹闭术12例,动脉瘤切除术2例。11例采用翼点入路,3例采用经额纵裂入路,显微镜下手术。结果出院时良好者11例,中残者2例,重残者1例,死亡1例。结论显微外科技术在手术中的推广运用,显著降低了颅内动脉瘤的手术的致死、致残率。

Objective To explore direct manipulation technology of anterior communicating aneurysm and the prevention of its complications. Methods 16 cases of anterior communicating aneurysm reported 12 cases were （25% of intracranial aneurysm during the same period）. 14 cases were performed operation directly （clip shut operation in 12 cases, resection in 2 cases）, out of which ll cases passed pterion, 3 cases through frontal lobe and longitudinal fissure. Microscope was used in all cases. Results 11 cases were good, 2 cases with middle dysfunction, 1 case had great dysfunction before being discharge and 1 case died. Conclution The application of microsurgery technology has signs ficantly reduced the motality and dysfunction rate of intracranial aneurysm.