摘要
目的：探讨额外侧入路夹闭前交通动脉瘤术中两种扩大手术视野的临床疗效及预后。方法：回顾性分析我院神经外科2005年1月至2010年4月行额外侧入路治疗87例Hunt—Hess分级Ⅰ-Ⅱ级前交通动脉瘤患者的临床资料。A组（49例）开颅后行Paines点脑室穿刺。B组（38例）开颅后行甘露醇脱水。对术中动脉瘤破裂和切除直回比例以及未切除直回患者的术后意识状态和预后进行评价。结果：A组术中动脉瘤破裂比例、切除直回比例和术后5天深昏迷患者比例均低于B组；随访术后6个月GOS评分5分患者比例前者高于后者，2～1分患者比例低于后者。结论：脑室穿刺是一种微创、简单易行的治疗手段，能有效暴露手术视野，减少术中动脉瘤破裂和不必要的脑组织切除。
ObjectiveTo explore the clinical effect and prognosis of two methods of enlarging the operating field in microsurgical clipping anterior communicating aneurysms. MethodsRetrospect the clinical information of 87 cases（ Hunt - Hess Ii＂ ） anterior communicating aneurysms which treated via lateral frontal approach during January 2005 - April 2009. Group A （49 cases） handled with intraoperative Paine s point ventricular puncture;Group B （38 cases） use mannitol dehydration. Evaluate the proportion of intraopertive aneurysm rupture, removal of gyrus rectus And postoperative conscious state and prognosis of the cases did not resect gyrus rectus. Results The proportions of rupture and brain resection in operation and the deep coma on the fifth day post operation in group A are lower than group B ; The proportion of GOS ： 5 after 6 months is higher than the group B and the proportion of 2 - 1 is lower than the group B. ConclusionVentricular puncture is a minimally invasive and simple treatment can effectively exposed the operation field, reducing the proportion of intraoperative aneurysm rupture and unnecessary removal of brain tissue.
出处
《医学信息（下旬刊）》
2011年第10期143-144,共2页
Medical information
关键词
前交通动脉瘤
脑室穿刺
甘露醇
额外侧入路
手术视野
Anterior communicating aneurysm
Ventricnlar puncture
Mannitol
Lateral frontal approach
Operating field
