| 大脑中动脉动脉瘤破裂伴脑内血肿的早期手术治疗 |
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| 引用本文： | 陈志,唐卫华,缪洪平,吴南,朱刚,冯华.大脑中动脉动脉瘤破裂伴脑内血肿的早期手术治疗[J].第三军医大学学报,2008,30(24):2324-2326. |
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| 作者姓名： | 陈志 唐卫华 缪洪平 吴南 朱刚 冯华 |
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| 作者单位： | 第三军医大学西南医院神经外科,全军神经系统疾病微创诊治专科中心,重庆,400038 |
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| 基金项目： | 国家科技支撑计划
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| 摘 要： | 目的 探讨大脑中动脉动脉瘤破裂合并脑内血肿早期手术的疗效和经验.方法 回顾性分析近5年9例大脑中动脉动脉瘤破裂合并脑内血肿患者,早期手术行动脉瘤夹闭及血肿清除术的治疗效果.7例患者术前经常规血管造影或(和)三维CT血管造影(three-dimensional CT angiography,3D-CTA)检查证实,2例患者行CT检查直接手术.术中使用微血管多普勒超声辅助显露动脉瘤及检查动脉瘤夹闭前后载瘤动脉血流.结果 9例患者共10枚动脉瘤均成功夹闭,3个月后随访时GOS 评分恢复良好者4例,中度病残2例,重度病残2例,植物生存1例.结论 大脑中动脉动脉瘤破裂合并脑内血肿患者病情危重,早期手术能有效改善预后,3D-CTA和术中多普勒超声等无创检查措施能为手术提供帮助.
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| 关 键 词： | 颅内动脉瘤 大脑中动脉 脑内血肿 显微外科手术 |
Early surgical treatment of ruptured middle cerebral artery aneurysms associated with intracerebral haematoma |
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| CHEN Zhi,TANG Wei-hua,MIAO Hong-ping,WU Nan,ZHU Gang,FENG Hua.Early surgical treatment of ruptured middle cerebral artery aneurysms associated with intracerebral haematoma[J].Acta Academiae Medicinae Militaris Tertiae,2008,30(24):2324-2326. |
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| Authors: | CHEN Zhi TANG Wei-hua MIAO Hong-ping WU Nan ZHU Gang FENG Hua |
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| Institution: | CHEN Zhi,TANG Wei-hua,MIAO Hong-ping,WU Nan,ZHU Gang,FENG Hua (Department of Neurosurgery,Southwest Hospital,Third Military Medical University,Chongqing 400038,China) |
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| Abstract: | Objective To summarize the experience and effectiveness of early surgical treatment of middle cerebral artery (MCA) aneurysms associated with intracerebral haematoma. Methods Nine patients with ruptured MCA aneurysms associated with intracerebral haematoma, who underwent haematoma evacuation and aneurysmal clipping, were retrospectively reviewed. Preoperative conventional angiography or/and three-dimensional CT angiography (3D-CTA) was performed in seven patients. Another two patients underwent urgent surge... |
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| Keywords: | intracranial aneurysm middle cerebral artery intracerebral hematoma microsurgery |
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