颅内动脉瘤显微夹闭手术中破裂出血的预防和处理

目的 探讨颅内动脉瘤显微夹闭手术中破裂的预防及处理的技巧和方法.方法 回顾性分析2002年2月～2010年8月55例患者开颅行夹闭术中动脉瘤破裂8例的处理,其中后交通2例,脉络膜前2例,大脑中分叉1例,前交通3例.结果 8例术中破裂动脉瘤均被成功夹闭,其中1例死亡,2例中残,1例重残,余恢复良好.结论 颅内动脉瘤夹闭术中的破裂难以避免,显微手术技巧及综合处理措施能预防或减少术中破裂,有效地改善患者预后.

Microsurgical Treatment of the Intrcraniao Aneurysmr Prevented and Ruptured during Operation

Objective To explore the prevention, microsurgical technique, and comprehensive measures of intracranial ruptured second time during operation. Methods A retrospective analysis was made 55 patients.Of 8 aneurysms ruptured second time during operation operated on from February 2002 to Augest 2010.Two posterior communicating artery aneurysm.Two choroid before artery aneurysms, 1 middle cerebral artery aneurysms, 3 anterior communicating artery aneurysms.Results 8 ruptured aneurysms （luring operation were clipped successfully.During 3 case were good recovery, mild disability in 2 cases, serious disabibity in 1 case, and 1 death.Conclusion Intracranial aneurysmal rupture during clip operations may be impossibly avoided.It seems possible to reduce incidence of intraoperative aneurismal rupture and improve the prognosis by utilizing microsurgical and comprehensive measures.