| 颅内动脉瘤12例复发原因及微创外科治疗 |
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| 引用本文： | 李志立,黄光富,张天,袁利民,刘卫东,陈勇,陈隆益,冯海龙,唐健,王振宇. 颅内动脉瘤12例复发原因及微创外科治疗[J]. 实用医院临床杂志, 2010, 7(1): 58-61 |
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| 作者姓名： | 李志立 黄光富 张天 袁利民 刘卫东 陈勇 陈隆益 冯海龙 唐健 王振宇 |
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| 作者单位： | 四川省医学科学院·四川省人民医院神经外科,四川,成都,610072 |
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| 摘 要： | 目的探讨颅内复发动脉瘤的临床影响因素和处理原则。方法回顾性分析微创手术治疗颅内复发性动脉瘤12例患者的临床、治疗、随访资料,其中颈内-后交通动脉瘤5例,颈内动脉三分叉处动脉瘤3例,前交通动脉瘤2例,大脑中动脉分叉处和基底动脉瘤各1例,微创开颅手术夹闭复发动脉瘤9例,微创血管内介入栓塞3例。结果出院时优良8例,轻残3例,重残1例。术后随访4个月至5年,平均3.8年,11例生存良好,1例在术后4月死于肺部感染。结论颅内动脉瘤治疗后再复发的主要原因为：栓塞不致密、夹闭不全和血流动力学影响。颅内复发动脉瘤应进行个体化治疗,对再破裂的复发动脉瘤宜采取显微手术夹闭。
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| 关 键 词： | 颅内动脉瘤 夹闭 栓塞 动脉瘤复发 |
Recurrent reason and minimally invasive surgical treatment of 12 intracranial aneurysms |
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| LI Zhi-li,HUANG Guang-fu,ZHANG Tian,YUAN Li-min,LIU Wei-dong,CHEN Yong,CHEN Long-yi,FENG Hai-ling,TANG Jian,WANG Zhen-yu. Recurrent reason and minimally invasive surgical treatment of 12 intracranial aneurysms[J]. Practical Journal of Clinical Medicine, 2010, 7(1): 58-61 |
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| Authors: | LI Zhi-li HUANG Guang-fu ZHANG Tian YUAN Li-min LIU Wei-dong CHEN Yong CHEN Long-yi FENG Hai-ling TANG Jian WANG Zhen-yu |
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| Affiliation: | LI Zhi-li,HUANG Guang-fu,ZHANG Tian,YUAN Li-min,LIU Wei-dong,CHEN Yong,CHEN Long-yi,FENG Hai-ling,TANG Jian,WANG Zhen-yu (Department of Neurosurgery,Sichuan Academy of medical Sciences & Sichuan Academy of Medical Sciences,Chengdu 610072,China) |
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| Abstract: | Objective To explore the related clinical factors and the management of recurrent intracranial aneurysms. Methods Twelve recurrent intracranial aneurysms cases were found in the series of 413 intracranial aneurysms patients. The clinical,image and follow-up data were analyzed retrospectively. Of the 12 patients with recurrent intracranial aneurysms,5 aneurysms were located in the posterior communicating artery,3 in the crotch of ICA,2 in the anterior communicating artery,1 in the crotch of middle cerebral a... |
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| Keywords: | Intracranial aneurysm Clipping Embolization Recurrent aneurysm |
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