经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤

Microsuurgical clipping via Dolenc approach for patients with aneurysm of the ophthalmic segment of internal carotid artery

目的探讨经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤的手术疗效、操作要点、并发症的预防。方法回顾性分析2015年7月至2019年1月经Dolenc入路夹闭术治疗的20例颈内动脉眼段动脉瘤的临床资料。结果术后CTA或DSA复查颈眼动脉瘤均夹闭完全,无瘤颈残留,无明显载瘤动脉狭窄。出院时,GOS评分5分16例,4分4例。结论经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤是安全可靠有效的方法。

Objective To explore the surgical efficacy,main points of operation,and prevention of complications of microsurgical clipping via Dolenc approach for the patients with aneurysm of the ophthalmic segment of internal carotid artery(named as carotidophthalmic aneurysm,COA).Methods A retrospective analysis was performed on the clinical data of 20 patients with COA who underwent microsurgical clipping via Dolenc approach from July 2015 to January 2019.Results Postoperative CTA or DSA reexamination showed that the aneurysms were completely clipped without residual neck and obvious stenosis of the parent artery.On discharge,the GOS score of 5 points was achieved in 16 patients and 4 points in 4.Conclusions The microsurgical clipping via Dolenc approach is a safe,reliable and effective method for the treatment of the patients with COA.