| 颞下经小脑幕入路治疗基底动脉顶分叉部动脉瘤:附三例报告 |
| |
| 引用本文： | 金文哲,王焕宇,王宏.颞下经小脑幕入路治疗基底动脉顶分叉部动脉瘤:附三例报告[J].中国现代神经疾病杂志,2012,12(2):212-216. |
| |
| 作者姓名： | 金文哲 王焕宇 王宏 |
| |
| 作者单位： | 1. 天津医科大学研究生院2009级,300070
2. 天津市环湖医院神经外科,300060 |
| |
| 摘 要： | 探讨基底动脉顶分叉部动脉瘤的手术适应证及手术操作技巧。回顾分析3例经颞下入路手术治疗基底动脉顶分叉部动脉瘤患者临床表现、影像学资料及手术过程。其中2例动脉瘤完全夹闭,1例因保护穿支动脉而残留部分瘤颈。术后随访6个月至2年,均恢复良好,改良Rankin量表评分分别为2分、0分、1分;日常生活活动能力量表(Barthel指数)评分为65分、100分和95分。
|
| 关 键 词： | 颅内动脉瘤 基底动脉 脑血管造影术 显微外科手术 |
Subtemporal approach for treatment of basilar bifurcation aneurysms (with report of 3 cases) |
| |
| JIN Wen-zhe
,
WANG Huan-yu
,
WANG Hong.Subtemporal approach for treatment of basilar bifurcation aneurysms (with report of 3 cases)[J].Chinese Journal of Contemporary Neurology and Neurosurgery,2012,12(2):212-216. |
| |
| Authors: | JIN Wen-zhe WANG Huan-yu WANG Hong |
| |
| Institution: | 1 Grade 2009, Graduate School, Tianjin Medical University, Tianjin 300070, China 2 Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300060, China |
| |
| Abstract: | The study was to explore the operative experience in 3 patients with basilar bifurcation aneurysms treated with microsurgery via subtemporal approach. The clinical manifestations, angiograms, and surgical operation were retrospectively analyzed. The effect of clipping treatment was satisfactory in 2 patients. One case was treated with remnant neck of aneurysms in order to protect perforating branches of artery. The blood flow was unobstructed in parent artery and distal artery. Patients were followed for 6 months to 2 years after surgery. The recovery was good. The patients’ mRS (modified Rankin Scale) were 2, 0, 1, respectively. Barthel index Activities of Daily Living (ADL)] were 65, 100, 95, respectively. There fore the subtemporal approach is safe and effective in the treatment of basilar bifurcation aneurysm surgery. |
| |
| Keywords: | Intracranial aneurysm Basilar artery Cerebral angiography Microsurgery |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
