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经缩小额外侧入路治疗前循环动脉瘤的临床分析
引用本文:赵庚水1,黄 楹2. 经缩小额外侧入路治疗前循环动脉瘤的临床分析[J]. 天津医科大学学报, 2015, 0(3): 65-67
作者姓名:赵庚水1  黄 楹2
作者单位:(1.天津医科大学研究生院,天津300070;2.天津市环湖医院颅底外科,天津300060)
摘    要:
目的:探讨经缩小额外侧手术入路治疗前循环动脉瘤的临床效果。方法:回顾性分析经缩小额外侧入路治疗45例前循环动脉瘤患者的临床资料。结果:45例共61个动脉瘤均成功显微手术夹闭。1例患者术后出现肺部感染,转入重症监护科继续治疗。其余患者出院时恢复良好40例,轻残4例,无1例死亡。结论:经充分的术前评估,运用熟练的显微手术操作技术,缩小额外侧入路治疗前循环动脉瘤疗效可靠。

关 键 词:显微外科手术  颅内动脉瘤  锁孔

Treatment of anterior circulation aneurysms by  frontolateral keyhole approach
ZHAO Geng-shui' target="_blank" rel="external">ZHAO Geng-shui1,HUANG Ying2. Treatment of anterior circulation aneurysms by  frontolateral keyhole approach[J]. Journal of Tianjin Medical University, 2015, 0(3): 65-67
Authors:ZHAO Geng-shui' target="  _blank"   rel="  external"  >ZHAO Geng-shui1,HUANG Ying2
Affiliation:(1.Graduate School,Tianjin Medical University,Tianjin 300070,China;2.Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300060, China)
Abstract:
Objective:To explore the clinical effects and the techniques of microsurgery for anterior circulation aneurysms. Methods:The clinical data of 45 patients with 61 aneurysms underwent frontolateral keyhole approach and were analyzed retrospectively. Results:All aneurysms in 45 patients were successfully clipped. One case got postoperative pulmonary infection and was transferred to intensive care treatment. Forty cases were recovered well, 4 cases were mildly disabled and no one expired. Conclusion:The treatment of anterior circulation aneurysms by frontolateral keyhole approach is safe and feasible based on full preoperative assessment.
Keywords:
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