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复合手术治疗颅内动脉瘤 被引量:8

Hybrid surgery for intracranial aneurysm
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摘要 目的探讨应用复合手术治疗颅内动脉瘤的疗效。方法回顾性分析采用复合手术治疗9例颅内动脉瘤的临床资料。在术中DSA及球囊临时阻断技术辅助下完成对动脉瘤的妥善处理,载瘤动脉的重塑及邻近分支血管的良好保护。结果本组9例均采用术中DSA,采用球囊辅助夹闭术4例。所有动脉瘤成功夹闭,术后并发小灶性脑梗死1例,癫疒间1例。出院时GOS评分:恢复良好6例,轻度残疾2例,重度残疾1例。结论复合手术对于颅内动脉瘤是一项安全可行、疗效确切的治疗策略。 Objective To explore the therapeutic effect of hybrid surgery for intracranial aneurysms. Methods Clinical data of 9patients with intracranial aneurysms undergoing hybrid surgery were analyzed retrospectively. With the assistance of real-time digital substraction angiography(DSA) and temporary balloon occlusion, the aneurysms were treated appropriately, the parent artery was remodelled, and the adjacent vascular branches were protected well. Results The intraoperative DSA was used in 9 patients, and clipping assisted with balloon in 4. All the aneurysms were successfully clipped. Focal infarction was found in 1 patient and epilepsy in 1after the operation. The GOS scores at hospital discharge were as follows: good recovery in 6 patients, mild disability in 2, and severe disability in 1. Conclusion Hybrid surgery is a safe, feasible and effective treatment strategy for intracranial aneurysm.
出处 《中国微侵袭神经外科杂志》 CAS 2016年第3期105-108,共4页 Chinese Journal of Minimally Invasive Neurosurgery
基金 四川省卫生厅科研课题(编号:140106)
关键词 颅内动脉瘤 复合手术 显微外科手术 血管造影术 数字减影 intracranial aneurysm hybrid surgery microsurgery angiography digital subtraction
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二级参考文献7

共引文献11

同被引文献62

  • 1武中成,徐宁,刘海玉,于金录,王柏,王宏磊.老年颅内动脉瘤患者12例血管内栓塞治疗后复发的临床分析及处理[J].中国老年学杂志,2014,34(5):1371-1372. 被引量:10
  • 2印建国,贾雄,刘晓红,杨艳,宁季军.三维数字减影血管造影在颅内动脉瘤诊疗中的应用价值[J].西北国防医学杂志,2007,28(1):35-37. 被引量:2
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  • 10刘涛.弹簧圈栓塞结合微创手术综合治疗Hunt-HessⅣ级和Ⅴ级颅内动脉瘤破裂临床分析[J].中国医药,2008,3(12):761-762. 被引量:8

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