破裂后交通动脉瘤经绿色通道超早期手术夹闭临床分析

Clinical analysis of super early surgical clipping of ruptured posterior communicating artery aneurysm through green channel

目的探讨继发脑内血肿的破裂后交通动脉瘤手术时机、方法和治疗效果。方法回顾2013-06—2017-06继发脑内血肿破裂后交通动脉瘤经绿色通道超早期紧急手术夹闭病例资料,分析影响手术和治疗结果的因素。结果 27例继发脑内血肿破裂后交通动脉瘤患者,入院距手术开始时间2~6h,平均3.5h,额颞扩大翼点开颅,均顺利夹闭动脉瘤,清除血肿。结论以绿色通道和微创理念对继发脑内血肿的破裂后交通动脉瘤紧急手术夹闭和清除血肿,可有效降低病死率,提高生存质量。

Objective To discuss the appropriate operation time,method and effect of ruptured posterior communicating artery aneurysm with intracranial hematoma.Methods Data from 27 cases of ruptured posterior communicating artery aneurysm with intracranial hematoma acutely clipped through the green channel from June 2013 to June 2017 was retrospectively reviewed.Factors affecting the process and outcome of surgery were analyzed.Results The interval time of 27 cases of ruptured posterior communicating artery aneurysm with intracranial hematoma from admission to surgery was 2 to 6 hours,averaging 3.5 hours.All aneurysms were clipped and hematomas were evacuated successfully through frontotemporal expand pterional craniotomy.Conclusion Through the green channel with minimally invasive concepts,acute clipping ruptured posterior communicating artery aneurysm while simultaneously evacuating the intracranial hematoma successfully,can reduce the mortality and improve the quality of life effectinely.