额外侧锁孔入路与翼点入路夹闭术治疗前交通动脉瘤的临床效果

Clinical effect of frontolateral keyhole approach and pterional approach for the treatment of anterior communicating aneurysms

目的分析经额外侧锁孔入路与常规翼点入路手术治疗前交通动脉瘤的临床效果。方法选取我院收治的前交通动脉瘤破裂出血行开颅动脉瘤夹闭患者66例,按不同手术方法将其分为额外侧锁孔入路组(n=30)和翼点入路组(n=36)。比较两组患者的年龄、术中破裂情况、术中出血量、住院时间、手术时间及GOS评分。结果两组患者年龄、术中破裂情况及GOS评分无显著差异(P>0.05);额外侧锁孔入路组术中出血量、住院时间及手术时间均优于翼点入路组(P<0.05)。结论经额外侧锁孔入路手术治疗前交通动脉瘤安全有效、方便快捷、更加经济。

Objective To analyze the clinical effect of frontolateral keyhole approach and pterional approach for the treatment of anterior communicating aneurysms. Methods A total of 66 cases of anterior communicating aneurysms with subarachnoid hemorrhage undergoing surgery of craniotomy treated in our hospital were selected and divided into frontolateral keyhole approach group(n =30) and pterional approach group(n =36) by different surgery methods. Age,intraoperative rupture, intraoperative bleeding volume, hospital stay, operation time and GOS scores were compared between the two groups. Results There were no significant differences in age, intraoperative rupture and GOS scores between the two groups(P>0.05). The intraoperative bleeding volume, hospital stay and operation time of the frontolateral keyhole approach group were better than those in the pterional approach group(P<0.05). Conclusion The frontolateral keyhole approach is a safe, effective and convenient approach for the treatment of anterior communicating aneurysms.