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前交通动脉动脉瘤显微外科手术治疗
引用本文:杨国军,王宏.前交通动脉动脉瘤显微外科手术治疗[J].中国现代神经疾病杂志,2012,12(1):59-62.
作者姓名:杨国军  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:采用标准经翼点入路手术夹闭52例前交通动脉动脉瘤,术后随访6个月至2年,Glasgow预后分级恢复良好者47例(90.38%)、轻残3例(5.77%)、中残2例(3.85%).表明经翼点入路显微外科手术是治疗前交通动脉动脉瘤较为理想的方法.

关 键 词:颅内动脉瘤  蛛网膜下腔出血  栓塞  治疗性  显微外科手术

Microsurgical management of anterior communicating artery aneurysms
YANG Guo-jun,WANG Hong.Microsurgical management of anterior communicating artery aneurysms[J].Chinese Journal of Contemporary Neurology and Neurosurgery,2012,12(1):59-62.
Authors:YANG Guo-jun  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:Objective To explore the operative experience of anterior communicating artery (ACoA) aneurysms treated with microsurgery via pterional approach. Methods The clinical manifestations, angiograms, and surgical operation in 52 patients with ACoA were retrospectively analyzed. Results Clipping of aneurysms was successfully achieved in all cases. According to Glasgow Outcome Scale (GOS), 47 patients (90.38% ) were discharged in good condition, 3 patients (5.77% ) were in slight disability, 2 patients (3.85% ) were in moderate disability. Conclusion Pterional approach to an anterior communicating artery aneurysm is an excellent accessing method.
Keywords:Intracranial aneurysm  Subarachnoid hemorrhage  Embolization  therapeutic  Microsurgery
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