| 眶上锁孔入路手术治疗前交通动脉动脉瘤 |
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| 引用本文： | 田新华,张俊卿,陈锷,陈陆馗,黄延林,孙瑾,杨芳裕,李泉清,邓志鸿,刘禹冰,张峰林,康俊龙,林锦超.眶上锁孔入路手术治疗前交通动脉动脉瘤[J].中华脑血管病杂志(电子版),2008,2(1):9-11. |
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| 作者姓名： | 田新华 张俊卿 陈锷 陈陆馗 黄延林 孙瑾 杨芳裕 李泉清 邓志鸿 刘禹冰 张峰林 康俊龙 林锦超 |
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| 作者单位： | 福建医科大学厦门中山医院,厦门大学附属中山医院神经外科,361004 |
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| 基金项目： | 福建省青年科学基金(No.A0200063); 厦门市卫生局重点资助课题(No.WSK0508) |
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| 摘 要： | 目的：探讨前交通动脉（ACoA）动脉瘤经眶上锁孔入路手术夹闭的手术技术、安全性和相对适应证。方法：总结27例经眉弓眶上锁孔入路手术治疗的ACoA动脉瘤临床资料，着重阐述手术方法、术中动脉瘤破裂处理及手术适应证。结果：27例动脉瘤全部一次手术夹闭成功，但其中有5例术中动脉瘤破裂，3例合并脑积水者行脑室一腹腔分流术，1例死亡。27例患者均未出现手术入路相关并发症。19例数字减影血管造影或CT血管造影随访显示夹闭良好。结论：眶上锁孔入路显微外科手术是治疗ACoA动脉瘤的一种有效、安全的微创方法。
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| 关 键 词： | 眶上锁孔入路 颅内动脉瘤 前交通动脉 |
Supraorbital Keyhole Approach for Anterior Communicating Artery Aneurysm |
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| Xin-Hua Tian,Jun-Qing Zhang,E Chen,Lu-Kui Chen,Yan-Lin Huang,Jin Sun,Fang-Yu Yang,Quan-Qing Li,Zhi-Hong Deng,Yu-Bing Liu,Feng-Lin Zhang,Jun-Long Kang,Jin-Chao Lin.Supraorbital Keyhole Approach for Anterior Communicating Artery Aneurysm[J].Chinese Journal of Cerebrovascular Diseases(Electronic Version),2008,2(1):9-11. |
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| Authors: | Xin-Hua Tian Jun-Qing Zhang E Chen Lu-Kui Chen Yan-Lin Huang Jin Sun Fang-Yu Yang Quan-Qing Li Zhi-Hong Deng Yu-Bing Liu Feng-Lin Zhang Jun-Long Kang Jin-Chao Lin |
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| Institution: | (Department of Neurosurgery, Zhongshan Hospital, Xianen University, Xianen 361004, China) |
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| Abstract: | Objective:To investigate the surgical technique,safety and relative indications of anterior communicating artery(ACoA)aneurysm via supraorbital keyhole approach.Methods:The clinical data of 27 patients with ACoA aneurysm treated via trans-superciliary arch supraorbital keyhole approach were summarized.The operative methods,management of intraoperative aneurysm rupture and indications of operation were emphatically elaborated.Results:All the aneurysms in 27 patients were successfully clipped with only one su... |
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| Keywords: | supraorbital keyhole approach intracranial aneurysm anterior communication artery microsurgery |
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