复合手术治疗颅内动脉瘤

Hybrid surgery for intracranial aneurysm

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.