大脑前动脉-胼周动脉动脉瘤的临床特点及其治疗(附23例报告)

Clinical characteristics and treatment of anterior cerebral artery-pericallosal artery aneurysms(report of 23 cases)

目的探讨大脑前动脉-胼周动脉动脉瘤的诊断和总结其外科治疗的经验。方法回顾性分析2005年1月至2008年10月收治的23例大脑前动脉-胼周动脉动脉瘤患者的临床资料,其中20例行开颅动脉瘤夹闭术,3例行血管内栓塞治疗。结果 23例患者均恢复良好,住院时间为14～28d,平均19d。本组无死亡病例,无神经系统并发症者。3例行血管内治疗的患者中,2例头部CT发现在胼胝体前部纵裂间形成小血肿者,其精神症状和下肢轻瘫的恢复时间较行手术治疗的患者长。结论无论手术夹闭还是血管内栓塞治疗大脑前动脉-胼周动脉瘤,其效果均较好,但开颅显微手术夹闭仍是主要的外科治疗方法。

Objectives To explore the clinical characteristics of anterior cerebral artery-pericallosal artery aneurysms （ACA-PCA A） and summarize the experience in treating them. Methods The clinical data of 23 patients ACA-PCA A, of whom, 20 underwent craniotomy for clipping the aneurysms and 3 endovascular treatment, were analyzed retrospectively. Results All the patients were recovered well after the treatment. The average stay time was 19 days in 23 patients, in whom no patients died and no neurological complications occurred. Conclusions The curative effects of both the surgical clipping and endovascular embolization on ACA-PCA A are good. The craniotomy for clipping the aneurysms is main method to treat ACA-PCA A.