翼点入路前交通动脉瘤显微手术的疗效分析

Curative effect analysis about Microsurgery of anterior communicating aneurysm

目的探讨前交通动脉瘤的手术技巧及术后并发症的预防。。方法回顾性分析25例行翼点入路前交通动脉瘤夹闭术患者的临床资料,对患者的预后进行统计学分析。结果本组病人共计25例,23例行动脉瘤夹闭术,2例行载瘤动脉孤立夹闭术,出院时预后良好者19例,中残者2例,重残者1例,放弃治疗1例,死亡2例。结论翼点入路前交通动脉瘤显微手术是治疗的有效手段,术中充分显露与阻断、术后积极处理并发症能够明显改善病人预后。

Objective To explore the surgical technique of anterior communicating aneurysm and the prevention of postoperative complications. Methods The clinical data of 25 patients who were treated with anterior communicating aneurysm clipping via pterional approach were analyzed retrospectively and the prognosis was statistically analyzed. Results There were 25 cases being analyzed. Among them, 23 cases underwent incarceration of aneurysm, 2 cases were performed with isolated aneurysmal occlusion. The prognosis at discharge was good in 19 cases, middle disability in 2 cases, severe disability in 1 case, abandonment of treatment in 1 case and death in 2 cases. Conclusions Microsurgical treatment of anterior communicating aneurysm via pterion approach is an effective method. Full exposure and occlusion during operation and active management of postoperative complications can significantly improve the prognosis of patients.