本文關(guān)鍵詞：經(jīng)眶上外側(cè)入路治療頸內(nèi)-后交通動脈瘤　出處：《中華神經(jīng)外科疾病研究雜志》2016年05期 　論文類型：期刊論文

  更多相關(guān)文章： 眶上外側(cè)入路 頸內(nèi)-后交通動脈動脈瘤 顯微手術(shù)

【摘要】：目的探討頸內(nèi)-后交通動脈動脈瘤的顯微外科治療。方法回顧分析我科2012年1月至2014年10月經(jīng)眶上外側(cè)小骨瓣入路顯微手術(shù)治療的24例頸內(nèi)-后交通動脈動脈瘤的臨床資料。結(jié)果 24例患者共夾閉26個動脈瘤,出院后3月隨訪根據(jù)GOS評分進(jìn)行預(yù)后評價(jià),21例患者優(yōu),1例患者良,1例患者極差,1例死亡。結(jié)論眶上外側(cè)入路處理頸內(nèi)-后交通動脈動脈瘤具有切口短,骨瓣小,入路快,失血少,腦組織暴露少的優(yōu)點(diǎn)。
[Abstract]:Objective to investigate the microsurgical treatment of internal carotid artery aneurysms. Methods the clinical data of 24 patients with internal carotid posterior communicating artery aneurysm treated by microsurgery from January 2012 to 2014 10 in our department were retrospectively analyzed. Results a total of 26 aneurysms were clipped in 24 patients. After discharge, they were followed up in March. According to the GOS score, the prognosis was evaluated. 21 patients were excellent, 1 patients were good, 1 patients were very poor, 1 patients died. Conclusion the superior orbital lateral approach for the treatment of internal carotid artery aneurysms has the advantages of short incision, small bone flap, fast approach, less blood loss and less brain tissue exposure.
【作者單位】： 重慶市江津區(qū)中心醫(yī)院神經(jīng)外科;
【基金】：重慶市衛(wèi)生和計(jì)劃生育委員會醫(yī)學(xué)科研基金資助項(xiàng)目(20142186)
【分類號】：R651.1
【正文快照】： 最新統(tǒng)計(jì)顯示腦動脈瘤在普通人群中平均發(fā)病率可達(dá)2%[1,2],而頸內(nèi)動脈-后交通動脈動脈瘤(posterior communicating artery aneurysm,PCOA)是顱內(nèi)最好發(fā)的動脈瘤,其發(fā)病率高達(dá)40%~45%[3]。一旦破裂具有較高的死亡率、致殘率。顯微手術(shù)夾閉動脈瘤仍是治療動脈瘤的重要方式,其手

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