经缩小额外侧入路治疗前循环动脉瘤的临床分析

Treatment of anterior circulation aneurysms by frontolateral keyhole approach

目的:探讨经缩小额外侧手术入路治疗前循环动脉瘤的临床效果。方法:回顾性分析经缩小额外侧入路治疗45例前循环动脉瘤患者的临床资料。结果:45例共61个动脉瘤均成功显微手术夹闭。1例患者术后出现肺部感染,转入重症监护科继续治疗。其余患者出院时恢复良好40例,轻残4例,无1例死亡。结论:经充分的术前评估,运用熟练的显微手术操作技术,缩小额外侧入路治疗前循环动脉瘤疗效可靠。

Objective： To explore the clinical effects and the techniques of microsurgery for anterior circulation aneurysms. Methods： The clinical data of 45 patients with 61 aneurysms underwent frontolateral keyhole approach and were analyzed retrospectively. Results： All aneurysms in 45 patients were successfully clipped. One case got postoperative pulmonary infection and was transferred to intensive care treatment. Forty cases were recovered well, 4 eases were mildly disabled and no one expired. Conclusion： The treatment of anterior circulation aneurysms by frontolateral keyhole approach is safe and feasible based on full preoperative assessment.