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颅内动脉瘤的显微手术治疗
引用本文:潘先文,江晓春,李真保,刘策刚,戴易,王弘乐. 颅内动脉瘤的显微手术治疗[J]. 中华神经医学杂志, 2005, 4(4): 397-398
作者姓名:潘先文  江晓春  李真保  刘策刚  戴易  王弘乐
作者单位:241000,安徽省芜湖市皖南医学院弋矶山医院神经外科
摘    要:目的总结颅内动脉瘤显微外科手术治疗的经验。方法回顾分析显微外科手术治疗颅内动脉瘤的临床资料,手术方式与术后转归。结果21例颅内动脉瘤中瘤颈夹闭20例.动脉瘤壁包裹1例;恢复良好18例,轻残1例,重残1例。死亡1例。结论精细的显微外科操作.充分开放脑池,术中载瘤动脉的临时阻断是手术成功的关键,可减少手术的致残率和死亡率。

关 键 词:颅内动脉瘤 显微手术治疗 外科手术治疗 临床资料 回顾分析 术后转归 手术方式 外科操作 手术成功 临时阻断 载瘤动脉 死亡率 致残率
文章编号:1671-8925(2005)04-397-002
修稿时间:2004-12-10

Microsurgical therapy of intracranial aneurysms
PAN Xian-wen,JIANG Xiao-chun,LI Zhen-bao,LIU Ce-gang,DAI Yi,WANG Hong-le. Microsurgical therapy of intracranial aneurysms[J]. Chinese Journal of Neuromedicine, 2005, 4(4): 397-398
Authors:PAN Xian-wen  JIANG Xiao-chun  LI Zhen-bao  LIU Ce-gang  DAI Yi  WANG Hong-le
Abstract:Objective To summarize the microsurgical treatment of intracranial aneurysms. Methods The data of 21 patients with intracranial aneurysms were retrospectively analyzed. Results 20 cases were operated on by occlusion of aneurysm neck, and 1 by wrapping the wall. 18 patients got well recovered, 1 slightly disabled, 1 severely disabled and 1 died. Conclusion The key to the successful microsurgery is to block aneurysm artery and open cerebral cistern as well as the temporary blockage of aneurysm arteries, which can decrease death rate and disability.
Keywords:Intracranial aneurysm  Microsurgery  Subarachnoid hemorrhage
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