前交通动脉瘤合并高血压病临床分析

The surgical management of anterior communicating aneurysm associated with hypertension

目的探讨前交通动脉瘤合并高血压病围手术期处理、手术时机的选择和手术技巧。方法回顾性分析21例前交通动脉瘤合并高血压病经显微外科手术治疗的资料。结果本组患者恢复良好12例；中度病残，但生活自理4例；重度病残，生活不能自理2例；植物生存1例；2例死亡。结论围手术期的处理和手术时机的选择是降低前交通动脉瘤合并高血压病手术风险的重要因素，手术技巧是提高疗效的保证。

Objective To discuss the perioperative management and the surgical timing and the skills in microsurgery of anterior communicating aneurysm associated with hypertension. Methods Microsurgical treatment data of 21 cases of anterior communicating aneurysm associated with hypertension were analyzed. Results Good outcome was observed in 12 cases. Mild disability occured in 4 cases. Severe disability occured in 2 cases. Persis- tent vegetative state occured in 1 cases and 2 patients died. Conclusion The perioperative management and the surgical timing are the important factors for reducing surgical risk of anterior communicating aneurysm associated with hypertension.