颅内动脉瘤在神经血管疾病复合手术室的治疗效果分析

Management of 99 intracranial aneurysms in neurovascular hybrid operating room

目的分析在神经血管疾病复合手术室条件下治疗颅内动脉瘤现状。方法第二炮兵总医院新纪元脑卒中医疗救治研究中心从2013年10月至2015年11月在神经血管疾病复合手术室实施颅内动脉瘤治疗共99例，其中包括介入治疗、开颅手术治疗、复合手术治疗、手术方式切换等多种治疗方式。结果99例中4例死亡，89例神经功能明显改善，4例稳定，1例加重，1例失访；94例随访3～675d，其中4例动脉瘤复发，2例进行了二次手术。90例在最后一次随访时仍达到完全栓塞或夹闭。结论在神经血管疾病复合手术室条件下实施颅内动脉瘤治疗是理想的选择。

Objective To analyze the current status of intracranial aneurysms treated in neurovascular hybrid operating room. Methods In the neurovascular hybrid operating room of New Era Stroke Care ＆ Research Center, the Second Artillery General Hospital PLA, from October 2013 to November 2015, 99 cases of intracranial aneurysms were managed by interventional treatment, open surgery, hybrid surgery or switched surgical procedures. Results Patients with intracranial aneurysms treated in neurovascular hybrid operating room achieved good clinical outcome. Conclusion It is an ideal option to treat intracranial aneurysms in neurovascular hybrid operating room.