| 经缩小额外侧入路治疗前循环动脉瘤的临床分析 |
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| 引用本文： | 赵庚水,黄 楹.经缩小额外侧入路治疗前循环动脉瘤的临床分析[J].天津医科大学学报,2015,0(3):65-67. |
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| 作者姓名： | 赵庚水 黄 楹 |
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| 作者单位： | (1.天津医科大学研究生院,天津300070;2.天津市环湖医院颅底外科,天津300060) |
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| 摘 要： | 目的:探讨经缩小额外侧手术入路治疗前循环动脉瘤的临床效果。方法:回顾性分析经缩小额外侧入路治疗45例前循环动脉瘤患者的临床资料。结果:45例共61个动脉瘤均成功显微手术夹闭。1例患者术后出现肺部感染，转入重症监护科继续治疗。其余患者出院时恢复良好40例，轻残4例，无1例死亡。结论:经充分的术前评估，运用熟练的显微手术操作技术，缩小额外侧入路治疗前循环动脉瘤疗效可靠。
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| 关 键 词： | 显微外科手术 颅内动脉瘤 锁孔 |
Treatment of anterior circulation aneurysms by frontolateral keyhole approach |
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| ZHAO Geng-shui' target="_blank" rel="external">
ZHAO Geng-shui,HUANG Ying.Treatment of anterior circulation aneurysms by frontolateral keyhole approach[J].Journal of Tianjin Medical University,2015,0(3):65-67. |
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| Authors: |
ZHAO Geng-shui" target="_blank">ZHAO Geng-shui' target="_blank" rel="external">
ZHAO Geng-shui HUANG Ying |
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| Institution: | (1.Graduate School，Tianjin Medical University，Tianjin 300070，China；2.Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300060, China) |
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| Abstract: | Objective:To explore the clinical effects and the techniques of microsurgery for anterior circulation aneurysms. Methods:The clinical data of 45 patients with 61 aneurysms underwent frontolateral keyhole approach and were analyzed retrospectively. Results:All aneurysms in 45 patients were successfully clipped. One case got postoperative pulmonary infection and was transferred to intensive care treatment. Forty cases were recovered well, 4 cases were mildly disabled and no one expired. Conclusion:The treatment of anterior circulation aneurysms by frontolateral keyhole approach is safe and feasible based on full preoperative assessment. |
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