前交通动脉动脉瘤显微外科手术治疗

Microsurgical management of anterior communicating artery aneurysms

采用标准经翼点入路手术夹闭52例前交通动脉动脉瘤,术后随访6个月至2年,Glasgow预后分级恢复良好者47例(90.38%)、轻残3例(5.77%)、中残2例(3.85%)。表明经翼点入路显微外科手术是治疗前交通动脉动脉瘤较为理想的方法。

Objective To explore the operative experience of anterior communicating artery （ACoA） aneurysms treated with microsurgery via pterional approach. Methods The clinical manifestations, angiograms, and surgical operation in 52 patients with ACoA were retrospectively analyzed. Results Clipping of aneurysms was successfully achieved in all cases. According to Glasgow Outcome Scale （GOS）, 47 patients （90.38% ） were discharged in good condition, 3 patients （5.77% ） were in slight disability, 2 patients （3.85% ） were in moderate disability. Conclusion Pterional approach to an anterior communicating artery aneurysm is an excellent accessing method.