摘要
目的 探讨大脑前交通动脉瘤显微手术策略、疗效及预后。 方法 回顾性分析2010 年1 月- 2012 年8 月本院神经外科94 例显微手术治疗的前交通动脉瘤患者的临床资料。 结果 动脉瘤直接夹闭89 例，动脉瘤切开再夹闭2 例，载瘤动脉近端孤立联合远端血管架桥1 例，未处理2 例。94 例前交通动脉瘤患者出院时疗效格拉斯哥预后分级（Glasgow outcome scale，GOS） 评分为5 分85.11%（80/94），4 分8.51%（8/94），3 分2.13%（2/94），2 分4.25%（4/94） ；随访80 例，3 ～ 36 个月GOS 评分5 分为88.75%（71/80），4 分为6.25%（5/80），3 分为2.5%（2/80），1 分为2.5%（2/80）。 结论 开颅显微镜下动脉瘤夹闭术是前交通动脉瘤安全有效的治疗方式。
Objective To study the strategy for anterior communicating aneurysm（ACOA）, and its therapeutic effect and prognosis. Methods Clinical data about 94 ACOA patients admitted to our department from January 2010 to August 2012 were retrospectively analyzed. Results Of the 94 ACOA, 89 were directly clipped, 2 were incised and clipped, 1 was proximally isolated combined with distal bypass, 2 received no treatment. The Glasgow outcome scale （GOS） score was 5, 4, 3 and 2, respectively, for 80 （85.11%）, 8 （8.51%）, 2 （2.13%）, and 4 （4.25%） of the 94 patients. Eighty patients were followed up for 3-36 months, during which the GOS score was 5, 4, 3, and 1,respectively, for 71 （88.75%）, 5 （6.25%）, 2 （0.25%）, 2 （0.25%）. Conclusion Microscopy-guided clipping is a safe and effective procedure for ACOA.
出处
《解放军医学院学报》
CAS
2014年第5期420-423,426,共5页
Academic Journal of Chinese PLA Medical School
关键词
前交通动脉瘤
外科手术
治疗
anterior communicating aneurysm
surgical proceduces, operative
therapy
