经翼点入路显微手术夹闭治疗颅内动脉瘤体会

Experience on nip close under microneurosurgery via pterion approach in the treatment of intracranal aneurysim

目的探讨经翼点入路显微手术夹闭治疗颅内动脉瘤的疗效。方法回顾性分析13例采用经翼点入路显微手术夹闭治疗颅内动脉瘤的临床应用情况及效果。结果本组病例均行一次性夹闭,共13个动脉瘤,手术后早期效果:良好10例,轻残2例,重残1例,无死亡病例。结论经翼点入路显微手术夹闭术是治疗颅内动脉瘤的主要方法,能充分显露动脉瘤,临时阻断血流,提高颅内动脉瘤的手术疗效。

Objective To sumarize the technique of clipping the intracranial aneurysm by microneurosurgery via pterion approach. Methods Retrospective analysis of 13 cases treated by the technique of clipping the intracranial aneurysm under microneurosurgery via pterion approach were performed. Results All the aneurysms were clipped successfully. The early pstoperatiye effects showed, there were 10 cases with fine postoperative healing, 2 cases with light residual, 1 eases with severe residual, no death case occurred. Conclusion The clipping intracranial aneurysm by microneurosurgery via pterion approach is the main treatment method for intracranial aneurysm. The aneurysm can wen be exposed through this technique, besides, the artery can be blocked more easily, so, the therapeutic effect of intracranial aneurysm must he elevated.