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大脑中动脉瘤的显微外科治疗
引用本文:周良辅,陈衔城,郭欢欢,李士奇. 大脑中动脉瘤的显微外科治疗[J]. 中国微侵袭神经外科杂志, 1996, 0(2)
作者姓名:周良辅  陈衔城  郭欢欢  李士奇
作者单位:上海医科大学华山医院神经外科 上海200040
摘    要:
报告34例大脑中动脉瘤显微外科手术的经验,其中1例有2个动脉瘤,共计35个动脉瘤.本组中大型和巨型动脉瘤14个(40%).除2个大脑中动脉主干梭形动脉瘤行动脉瘤包囊,2个巨型动脉瘤行M_1阻断伴颅内外动脉吻合外,其余(88%)均做动脉瘤颈夹闭或动脉瘤切除.无手术死亡,2例术后发生神经功能缺失.平均随访6年,优良率达93.8%.对手术入路、手术方法加以讨论.

关 键 词:动脉瘤  显微外科  大脑中动脉

Microsurgical treatment of middle cerebral artery aneurysms
Zhou Liangfu,Chen Xiancheng,Guo Huanhuan e,t al. Microsurgical treatment of middle cerebral artery aneurysms[J]. Chinese Journal of Minimally Invasive Neurosurgery, 1996, 0(2)
Authors:Zhou Liangfu  Chen Xiancheng  Guo Huanhuan e  t al
Affiliation:Zhou Liangfu,Chen Xiancheng,Guo Huanhuan e,t alDepartment of Neurosurgery,Hua Shan Hospital,Shanghai Medical University
Abstract:
Thirty four patients with 35 middle cerebral artery aneurysms (MCAA), in which 14 cases (40%) were large or giant aneurysms undergone microsurgical operations. Aneurysm neck clipping or ligation and aneurysm resection were performed in 30 cases(88%), wrapping in 2 fusiform aneurysms located at main trunk of middle cerebral artery, MI occlusion with extra and intracranial artery bypass in the other 2 giant aneurysms. There was no surgical mortality. Neurological deficits occurred postoperativ-ely in 2 patients. A follow-up study of average 6 years showed excellent and good results in 32 patients (94%). A discussion of the selection of operative approaches,and the surgical techniquewas made.
Keywords:aneurysm microsurgery middle cerebral artery
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