创伤性大脑前动脉瘤的早期诊断和治疗

目的探讨早期诊断和治疗创伤性大脑前动脉瘤的临床意义。方法回顾性分析9例创伤性大脑前动脉瘤患者的临床资料,分析其受伤机制、临床表现及头颅CT或MRI的特征性表现。患者早期行CTA或DSA检查,早期手术治疗,术后随访,并进行格拉斯哥预后量表(GOS)评分。结果 9例患者的动脉瘤均位于大脑前动脉分支,7例患者在动脉瘤破裂之前行手术治疗,2例患者在动脉瘤破裂后手术治疗。随访12个月,7例患者GOS评分5分,1例患者GOS评分4分,1例患者GOS评分3分。术后复查CTA,均无复发。结论对于高度怀疑创伤性大脑前动脉瘤的患者,应早期行CTA或DSA检查,早诊断、早治疗,手术治疗是其有效的治疗方法。

Early diagnosis and treatment of traumatic anterior cerebral artery aneurysms

Objective To explore the clinical significance of early diagnosis and treatment of traumatic anterior cerebral artery ( ACA) aneurysms .Methods The clinical data of 9 patients with traumatic ACA aneurysms in our hospital were analyzed retrospectively .The mechanism of injury , the features of clinical manifestation and CT or MRI were analyzed .Patients were performed by early CT angiography ( CTA ) or digital subtraction angiography ( DSA ) examination and surgery with follow-up and glasgow outcome scale (GOS) score.Results 9 cases of traumatic ACA aneurysm (7 unruptured and 2 ruptured) were followed up for 12 months and showed GOS 5 points in 7cases , 4 points in 1, and the other 3 points.Postoperative review of CTA showed there was no recurrence . Conclusions For patients with highly suspected traumatic ACA aneurysms , early CTA or DSA examination is necessary , early diagnosis and surgical treatment is effective .