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| 大脑中动脉瘤21例显微手术治疗 | |
| 引用本文： | 金清东,朱刚,陈志,缪洪平,林秋泉,王宪荣,冯华. 大脑中动脉瘤21例显微手术治疗[J]. 中华神经外科疾病研究杂志, 2007, 6(1): 52-54 |
| 作者姓名： | 金清东 朱刚 陈志 缪洪平 林秋泉 王宪荣 冯华 |
| 作者单位： | 1. 第三军医大学西南医院神经外科,重庆,400038 2. 福建省莆田市第一医院神经外科,福建,莆田,351100 |
| 摘 要： | 目的探讨大脑中动脉瘤显微手术治疗的临床疗效。方法回顾性分析21例显微手术治疗的大脑中动脉瘤的临床资料。结果所有病例均施行显微外科手术,其中行动脉瘤夹闭17例,动脉瘤切除3例,夹闭加包裹1例。术后严重血管痉挛3例,死亡1例,术后随访20例,随访时间6~30个月,优良19例,中残1例。结论充分的术前评估和合适的手术入路选择是显微外科手术成功治疗大脑中动脉瘤的基础和保证。 |
| 关 键 词： | 大脑中动脉瘤 显微手术 |
| 文章编号： | 1671-2897（2007）06-052-03 |
| 收稿时间： | 2006-05-22 |
| 修稿时间： | 2006-09-20 |
Microsurgical treatment of 21 cases with middle cerebral artery aneurysm |
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| JIN Qingdong,ZHU Gang,CHEN Zhi,MIAO Hongping,LIN Qiuquan,WANG Xianrong,FENG Hua. Microsurgical treatment of 21 cases with middle cerebral artery aneurysm[J]. Chinese Journal of Neurosurgical Disease Research, 2007, 6(1): 52-54 | |
| Authors: | JIN Qingdong ZHU Gang CHEN Zhi MIAO Hongping LIN Qiuquan WANG Xianrong FENG Hua |
| Abstract: | Objective To study clinical effect of middle cerebral artery aneurysm(MCAA) by microsurgical treatment.Methods A total of 21 patients with MCAA operated by microsurgical treatment were reviewed retrospectively.Results All cases were operated by microsurgical treatment. A total of 17 cases were operated by clipping, 3 cases by resection and 1 case by clipping plus wrapping. Three cases had serious vasospasm and 1 case died after operation .Twenty cases had been followed-up for 6 to 30 months. A total of 19 patients got excellent or good recovery and 1 with moderate disability.Conclusion Sufficient preoperative evaluation and suitable operative approach underlie the successful microsurgical treatment of middle cerebral artery aneurysms. |
| Keywords: | Middle cerebral artery aneurysm Microsurgical operation |
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