| 显微手术治疗颅内动脉瘤168例疗效分析 |
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| 引用本文： | 丰育功,吴国庆,孙淼,张兵,王厚忠,吴唏,孔军,王伟民,管勇,刘伟,赵经郊,孙敬熙. 显微手术治疗颅内动脉瘤168例疗效分析[J]. 中华神经外科疾病研究杂志, 2004, 3(3): 199-202 |
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| 作者姓名： | 丰育功 吴国庆 孙淼 张兵 王厚忠 吴唏 孔军 王伟民 管勇 刘伟 赵经郊 孙敬熙 |
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| 作者单位： | 青岛大学医学院附属市立医院神经外科,山东,青岛,266011 |
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| 摘 要： | 目的通过对168例颅内动脉瘤的显微手术治疗,以探讨手术时机、手术技巧对术后疗效的影响.方法对来我科首诊的经CT、DSA确诊为颅内动脉瘤的患者,力争在72 h内(由外院转诊已错过急性期者均在两周后)经翼点入路开颅行显微手术夹闭动脉瘤.结果 168例中,治愈139例(82.7%)、好转11例(6.5%)、植物生存3例(1.8%)、死亡15例(8.9%).结论颅内动脉瘤破裂引起 SAH,经CT、DSA确诊后应争取早期手术.选择最佳手术时机、手术入路、熟练掌握显微操作技术及显微解剖知识是手术成功的关键.
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| 关 键 词： | 翼点入路 颅内动脉瘤 显微技术 临床疗效 |
| 文章编号： | 1671-2897(2004)03-199-04 |
| 修稿时间： | 2002-05-08 |
Microsurgical treatment of 168 cases with intracranial aneurysm |
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| FENG Yugong,WU Guoqing,SUN Miao,ZHANG Bing,WANG Houzhong,WU Xi,KONG Jun,WANG Weimin,GUAN Yong,LIU Wei,ZHAO Jingjiao,SUN Jingxi. Microsurgical treatment of 168 cases with intracranial aneurysm[J]. Chinese Journal of Neurosurgical Disease Research, 2004, 3(3): 199-202 |
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| Authors: | FENG Yugong WU Guoqing SUN Miao ZHANG Bing WANG Houzhong WU Xi KONG Jun WANG Weimin GUAN Yong LIU Wei ZHAO Jingjiao SUN Jingxi |
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| Affiliation: | FENG Yugong,WU Guoqing,SUN Miao,ZHANG Bing,WANG Houzhong,WU Xi,KONG Jun,WANG Weimin,GUAN Yong,LIU Wei,ZHAO Jingjiao,SUN Jingxi Department of Neurosurgery,Qing Dao Municipal Hospital of Medical College of Qing Dao University,Qing Dao 266011,China |
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| Abstract: | Objective To investigate the influence of operating occasion and surgical skill on the post- operative outcomes of intracranial aneurysms by retrospectively analyzing 168 cases undertaken microsurgical treatment. Methods Patients with intracranial aneurysms identified by CT and DSA received microsurgical treatment by transpterional approach within 72 h after admission.Results Of 168 cases, 139 were cured ( 82.7%), 11 were good (6.5%), 3 were poor (1.8%), and 15 were dead (8.9%).Conclusion Ruptured intracranial aneurysms causing SAH should receive surgical treatment as soon as possible once confirmed by CT and DSA. The optimal chance and approach of operation, microsurgical technique, as well as microanatomical knowledge are keys for successful treatment. |
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| Keywords: | Pterional approach Intracranial aneurysm Microsurgery Clinical effect |
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