显微外科治疗基底动脉顶端动脉瘤

目的 探讨基底动脉顶端动脉瘤的显微外科治疗方法及效果.方法 对2007年5月至2010年9月首都医科大学附属复兴医院手术治疗的8例基底动脉顶端动脉瘤进行分析.其中男5例,女3例.年龄42 ～58岁,平均52.6岁.6例病人动脉瘤直接夹闭,2例动脉瘤累及大脑后动脉,行颞浅动脉—桡动脉—大脑后动脉搭桥,动脉瘤夹闭术.结果 按Glasgow结果评分(GOS)进行术后评分,术后7例患者恢复良好,1例搭桥病人动眼神经不全瘫痪同术前,中残.结论 基底动脉动脉瘤手术困难,并发症多,选择适当显微外科治疗方法,亦可取得良好的治疗效果.

Microsurgerv treatment with aneurysm on the top of basilar artery

Objective To explore the efficacy and method of microsurgery for aneurysm on the top of basilar artery.Methods The investigators analyzed retrospectively the clinical data of 8 microsurgical patients with aneurysm on the top of basilar artery from May 2007 to September 2010.There were 5 males and 3 females with an average age of 52.6 years old.Six of 8 cases underwent clipping of aneurysm while other 2 patients received superficial temporal artery-radial artery-posterior cerebral artery bypass grafting surgery and clipping of aneurysm.Results On the basis of GOS ( Glasgow outcome score),the postoperative recovery was excellent in 7 patients.And 1 patient suffered insufficiency of oculomotor nerve similarly as preoperatively.Conclusion The surgical procedures for aneurysm of basilar artery are so complicated as to lead to many complications.A wise choice of operative approaches may yield a better outcome.