| 颅内巨大动脉瘤的手术治疗 |
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| 作者姓名： | Huang LJ Feng WF Qi ST |
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| 作者单位： | 黄理金 (南方医科大学第三附属医院神经外科、介入科,广东广州,510630) ; 冯文峰 (南方医科大学南方医院神经外科,广东广州,510515) ; 漆松涛 (南方医科大学南方医院神经外科,广东广州,510515) ; |
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| 摘 要： | 目的探讨颅内巨大动脉瘤的手术时机、手术方法及疗效。方法回顾性分析2001年1月～2010年1月南方医院神经外科治疗的15例颅内巨大动脉瘤。动脉瘤夹夹闭8例;动脉瘤孤立并颅内-颅外血管架桥术1例;大隐静脉移植颅内-颅外血管架桥并载瘤动脉闭塞3例;瘤体切除,瘤壁缝合1例;单纯孤立2例。结果死亡2例(13%)。其余13例经半年的随访,好12例(80%),差1例(7%)。结论巨大动脉瘤手术设计应个体化,术者应是具备血管重建能力的有经验的显微神经外科医师。
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| 关 键 词： | 巨大动脉瘤 显微手术 疗效 |
Microsurgical management of intracranial giant aneurysms |
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| Huang LJ,Feng WF,Qi ST.Microsurgical management of intracranial giant aneurysms[J].Journal of Southern Medical University,2012,32(8):1214-1217. |
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| Authors: | Huang Li-Jin Feng Wen-Feng Qi Song-Tao |
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| Institution: | Department of Neurosurgery and Interventional Radiology, Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China. E-mail: 13802990238@139.com. |
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| Abstract: | Objective To study the surgical timing,strategy and outcome of intracranial giant aneurysms.Methods The clinical and surgical data of 15 cases of intracranial giant aneurysms treated between January,2001 and January,2010 were analyzed.Aneurysm clipping was performed in 8 cases,aneurysm trapping with extracranial-intracranial(EC-IC)bypass in 1 case,parent artery occlusion with EC-IC bypass using great saphenous vein graft in 3 cases,aneurysm resection with aneurysm wall suture in 1 case,and exclusive aneurysm trapping in 2 cases.Results Deaths occurred in 2(13%) of the cases.Good surgical outcomes were achieved in 12 cases(80%),and poor outcome was found in 1 case(7%) after the surgery.Conclusion Individualized surgical planning is suggested for microsurgical management of intracranial giant aneurysms,and the operation should be performed by surgeons having sufficient microsurgical experience and capable of vessel reconstruction. |
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| Keywords: | intracranial giant aneurysms microsurgery outcome |
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