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| 颅内前循环动脉瘤显微手术治疗 | |
| 引用本文： | 韩德清,黄永凯,孙培永,邱志华,孙亦明,陈玉光,朱卫华,刘宇超,邹武. 颅内前循环动脉瘤显微手术治疗[J]. 临床神经外科杂志, 2007, 4(3): 100-102 |
| 作者姓名： | 韩德清 黄永凯 孙培永 邱志华 孙亦明 陈玉光 朱卫华 刘宇超 邹武 |
| 作者单位： | 湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000;湖南省株洲市第一医院神经外科,412000 |
| 摘 要： | 目的探讨颅内前循环动脉瘤显微手术治疗的疗效。方法对76例颅内前循环动脉瘤破裂引起蛛网膜下腔出血患者术前全脑DSA;;血管造影定位,在早、中期使用显微技术手术治疗,应用GOS和B;;arthel指数术后评价。结果颅内前循环动脉瘤84个,显微手术夹闭75个,包裹7个,孤立2个,GOS评分恢复良好50例;中残,但生活自理11例;重残,生活需他人服侍9例;植物生存4例。B;;arthel指数>60分60例;60～41分8例;<40分4例。死亡4例。3天内手术48例患者术后评分与4～14d内手术28例患者,差异无统计学意义(P>0.05)。结论在早、中期使用显微技术手术治疗颅内前循环动脉瘤可取得好的疗效。 |
| 关 键 词： | 颅内前循环动脉瘤 显微手术 |
| 文章编号： | 1672-7770（2007）03-0100-03 |
| 修稿时间： | 2006-12-29 |
Microsurgery for cerebral anterior circulation aneurysm |
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| HAN De-qing, HUANG Yong-kai, SUN Pei-yong ,et al.. Microsurgery for cerebral anterior circulation aneurysm[J]. Journal of Clinical Neurosurgery, 2007, 4(3): 100-102 | |
| Authors: | HAN De-qing HUANG Yong-kai SUN Pei-yong et al. |
| Affiliation: | Department of Neurosurgery, First Hospital of Zhuzhou City, Zhuzhou 412001, China |
| Abstract: | Objective To explore the clinical effect of microsurgery for cerebral anterior circulation aneurysm.Methods 76 patients with anterior circulation aneurismal SAH()were located by DSA preopertion and underwent early-mid-phase microsurgical clipping.GOS and Barthel Index was conducted to evaluate patients' outcome.Results aneurysms were clipped in 75 cases,wrapped in 7 cases and isolated in 2 cases.According to GOS inder,good outcome was gained in 50 cases,mild disability in 11 cases,severe disability in 9 cases and persistent vegetative state in 4 cases.Otherwise,BI>60 in 60 cases,BI between 60 to 41 in 8 cases and BI<40 in 6 cases.4 cases were died.There was no significant difference between early and mid-phase surgery.Conclusion Early-mid-phase microsurgical clipping is the feasible way for treatment of anterior circulation aneurysm |
| Keywords: | anterior circulation aneurysm microsurgery |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |