颅内动脉瘤显微手术夹闭治疗86例临床分析

Microsurgical clipping in the the treatment of intracranial aneurysm: a report of 86 cases

目的总结颅内动脉瘤显微手术夹闭治疗的经验。方法回顾性分析我院采用经翼点入路显微手术夹闭治疗86例颅内动脉瘤患者的临床资料。结果本组病例均一次性夹闭,共92个动脉瘤,手术后随访3个月至2年,良好72例,中残10例,重残4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有效方法,能充分显露动脉瘤,选择合适的手术时机,精细的手术操作及合理的术后处理,能提高颅内动脉瘤的手术疗效改善患者生存质量。

Objective To summarize the experience and skills in the microsurgical clipping treatment of in- tracranial aneurysms. Methods An retrospective analysis was established on 86 intracranial aneurysmal patients who were received microsurgieal clipping treatment through the ptefional approaehs. Results Ninety-two aneurysms in 86 patients were clipped at one time.The following data was collected from 3 months to 2 years after the operations： no aneurysms were recurred or re-ruptured. Seventy-two patients were recovered well. Conclusion The microsurgi- cal clipping through the pterional approaehs is an effective method to treat the intracranial aneurysms, and the right op- erative opportunity, the careful operative teelmique and the proper postoperative conduction can increase the postoper- ative patients＇ life quality.