| 大脑中动脉动脉瘤伴脑内血肿的显微手术治疗(附15例分析) |
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| 引用本文： | 李进,游潮,贺民,孙鸿,刘翼.大脑中动脉动脉瘤伴脑内血肿的显微手术治疗(附15例分析)[J].中国微侵袭神经外科杂志,2008,13(7). |
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| 作者姓名： | 李进 游潮 贺民 孙鸿 刘翼 |
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| 作者单位： | 四川大学华西医院神经外科,四川,成都,610041 |
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| 摘 要： | 目的探讨显微外科手术处理大脑中动脉动脉瘤伴脑内血肿的临床经验。方法回顾性分析显微手术治疗15例大脑中动脉动脉瘤破裂伴脑内血肿的手术经验。结果均行显微外科手术,在清除血肿的同时夹闭动脉瘤。术后因严重脑梗死导致死亡2例;发生血管严重痉挛2例。对13例随访6～12个月,预后优良9例,中残2例,重残1例,植物状态1例。结论大脑中动脉动脉瘤破裂伴血肿者,致残率和病死率高;充分的术前评估、合适的手术时机和良好的显微外科手术技巧是提高疗效的关键。手术中应尽量避免对大脑中动脉分支血管的损伤,减少术后脑梗死的发生。
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| 关 键 词： | 颅内动脉瘤 脑出血 大脑中动脉 显微外科手术 |
Microsurgery for middle cerebral artery aneurysms result in intracerebral hematoma:analysis of 15 cases |
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| Institution: | LI Jin; YOU Chao; HE Min; et al. Department of Neurosurgery; Huaxi Hospital; Sichuan University; Chengdu 610041; China; |
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| Abstract: | Objective To explore the experiences of microsurgery for middle cerebral artery aneurysms result in intracerebral hematoma. Methods The clinical data of 15 cases with middle cerebral artery aneurysms result in intracerebral hematoma treated microsurgically were retrospectively reviewed. Results All cases were operated with microsurgical techniques. Surgery included evacuation of the hematoma and aneurysm clipping. After the surgery,2 cases died due to severe cerebral infarction,and 2 had serious vasospasm. ... |
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| Keywords: | intracranial aneurysm cerebral hemorrhage middle cerebral artery microsurgery |
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