| 破裂大脑中动脉动脉瘤的临床特点和治疗(附139例报告) |
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| 引用本文： | 胡军民,秦尚振,马廉亭,徐国政,龚杰,杨铭,李俊,秦海林.破裂大脑中动脉动脉瘤的临床特点和治疗(附139例报告)[J].中国临床神经外科杂志,2011,16(12):711-713. |
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| 作者姓名： | 胡军民 秦尚振 马廉亭 徐国政 龚杰 杨铭 李俊 秦海林 |
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| 作者单位： | 广州军区武汉总医院神经外科,武汉,430070 |
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| 摘 要： | 目的探讨破裂的大脑中动脉动脉瘤的临床特点、治疗技术及其疗效。方法 139例破裂的单纯性大脑中动脉动脉瘤患者中,采用显微手术治疗107例,血管内治疗32例。结果血管内治疗组动脉瘤100%闭塞的27例,95%闭塞的3例,90%闭塞的2例。显微手术组中,4例包裹,2例行孤立术,其余均成功夹闭。根据GOS评估预后:Ⅰ级(死亡)7例,Ⅱ级(植物生存)2例,Ⅲ级(重残)21例,Ⅳ级(中残)17例,Ⅴ级(恢复良好)92例。结论对Hunt-HessⅠ～Ⅲ级破裂的大脑中动脉动脉瘤患者行显微手术或血管内治疗效果可靠;根据不同病情,选择合理的治疗手段、有效的术后处理能改善破裂性大脑中动脉动脉瘤患者的预后。
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| 关 键 词： | 大脑中动脉动脉瘤 治疗 疗效 |
Clinical characteristics and treatment of ruptured middle cerebral artery aneurysms (report of 139 cases) |
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| HU Jun-min,QIN Shang-zhen,MA Lian-ting,XU Guo-zhen,GONG Jie,YANG Ming,LI Jun,QIN Hai-lin.Clinical characteristics and treatment of ruptured middle cerebral artery aneurysms (report of 139 cases)[J].Chinese Journal of Clinical Neurosurgery,2011,16(12):711-713. |
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| Authors: | HU Jun-min QIN Shang-zhen MA Lian-ting XU Guo-zhen GONG Jie YANG Ming LI Jun QIN Hai-lin |
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| Institution: | HU Jun-min,QIN Shang-zhen,MA Lian-ting,XU Guo-zhen,GONG Jie,YANG Ming,LI Jun,QIN Hai-lin.Department of Neurosurgery,Wuhan General Hospital,Guangzhou Command,PLA,Wuhan 430070,China |
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| Abstract: | Objective To explore the clinical characteristics and surgical technique of the middle cerebral artery aneurysms(MCAA) and the curative effect on MCAA.Methods Of 139 patients with MCAA,107 underwent microsurgery and 32 endovascular treatment.Results Of 32 patients with MCAA undergoing endovascular treatment,27 received the occlusion of 100% aneurismal cavities,3 did 95% and 2 did 90%.Of 107 patients with MCCA undergoing the microsurgery,4 received wrapping of aneurysms,2 trapping and 101 successful clipping... |
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| Keywords: | Middle cerebral artery Aneurysms Treatment Curative effect |
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