颅内前循环动脉瘤的栓塞与显微手术治疗

目的：探讨颅内前循环动脉瘤的外科治疗方法及效果。方法：颅内前循环动脉瘤38例,9例行血管内栓塞术,29例翼点入路显微镜下直视手术。结果：术后死亡1例。随访34例,26例恢复良好,1例植物生存,2例偏瘫,3例动眼神经麻痹,2例癫痫。结论：只要病情许可,前循环动脉均应手术治疗,开颅显微手术治疗利于及时降低颅内压,手术困难者可行栓塞治疗,但对术前已出现的颅神经损伤的恢复,不如开颅手术者好。

Endovasular embolization and microsurgical operation treament of intracranial anteior circulation aneurysms

Objective To explore the surgical treatment and effect of intracranial anterior circulation aneurysms.Methods Thirty-eight patients with intracranial anterior circulation aneurysms were enrolled,9 were treated with endovascular embolization,and 29 with pterion approach micro-euthyphoria operation.Results One patient was postoperative death. Thirty-four patients were followed up. Among them,26 were recovery,1 was botan animation,2 were meta-palsy,3 oculomotor palsy,and 2 epilepsy. Conclusion Surgical treatme...