显微手术治疗后交通动脉瘤278例报告

目的总结后交通动脉瘤的手术治疗经验。方法回顾性分析278例后交通动脉瘤手术患者的临床资料,278例手术患者中,269例行瘤颈夹闭术,9例行包裹加固术,术中辅助使用神经内镜86例。结果术后随访3～12个月,术后GOS评分:4～5分256例,2～3分15例,死亡7例。无动脉瘤残留及复发。结论通过显微外科技术并辅助使用神经内镜治疗后交通动脉瘤,可取得满意疗效。

Objective To review the experiment of microsurgical treatment for posterior communicating artery （PCoA） aneurysms. Methods The clinical data of 278 patients with PCoA aneurysms were analyzed retrospectively, among 278 cases, 269 were clipped and 9 wrapped, with neuroendoscope assistance in 86cases.Results All the patients were followed up for 3 to 12 months postoperatively, The postoperative GOS scores were as follows： 4 to 5 scores in 256 patients, 2 to 3 in 15 and 1 （death） in 7. Conclusion Microsurgery with the assistance of neuroendoscope provides a good outcome for posterior communicating artery aneurysms.