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胎儿型后交通动脉动脉瘤的显微手术治疗策略
引用本文:胡永光,杜奇勇,刘旭东,代天军. 胎儿型后交通动脉动脉瘤的显微手术治疗策略[J]. 西部医学, 2011, 23(7): 1311-1313. DOI: 10.3969/j.issn.1672-3511.2011.07.042
作者姓名:胡永光  杜奇勇  刘旭东  代天军
作者单位:江油市人民医院,四川江油,621700
摘    要:
目的探讨胎儿型后交通动脉动脉瘤的显微手术治疗策略及效果。方法回顾性分析收治的24例胎儿型后交通动脉动脉瘤患者的资料,所有患者均采用显微手术夹闭动脉瘤。结果动脉瘤完全夹闭,后交通动脉保留完好。随访时间3~72个月,平均26个月,未见动脉瘤残留或复发。结论对于胎儿型后交通动脉动脉瘤,在夹闭动脉瘤的同时,必须重视对粗大后交通动脉的保护,减少手术后脑梗塞的发生。

关 键 词:颅内动脉瘤  后交通动脉瘤  显微手术

The therapeutic strategies of microsurgical treatment of fetal posterior communicating artery aneurysms
HU Yong-guang,DU Qi-yong,LIU Xu-dong,et al. The therapeutic strategies of microsurgical treatment of fetal posterior communicating artery aneurysms[J]. , 2011, 23(7): 1311-1313. DOI: 10.3969/j.issn.1672-3511.2011.07.042
Authors:HU Yong-guang  DU Qi-yong  LIU Xu-dong  et al
Affiliation:HU Yong-guang,DU Qi-yong,LIU Xu-dong,et al(The People Hospital of Jiangyou,Jiangyou 621700,Sichuan)
Abstract:
Objective To study the therapeutic strategies of microsurgical treatment of fetal posterior communicating artery aneurysms.Methods The data of 24 patients with fetal PcomA aneurysms were retrospectively analyzed.All cases were treated with aneurysm clipping microsurgically.Results All aneurysms were clipped successfully,and the large PcomAs were preserved completely.There was no residual or recurrence during the follow-up for 3~72 months.Conclusion The fetal PcomA should be preserved completely while clipping the PcomA aneurysm in order to reduce cerebral infarction.
Keywords:Intracranial aneurysm  Posterior communicating artery aneurysms  Microsurgery  
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