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脑动脉瘤的显微外科技术
引用本文:朱贤立,汪占春,聂世斌,林宁,赵洪洋. 脑动脉瘤的显微外科技术[J]. 华中科技大学学报(医学版), 1986, 0(4)
作者姓名:朱贤立  汪占春  聂世斌  林宁  赵洪洋
作者单位:同济医科大学附属协和医院神经外科(朱贤立,汪占春,聂世斌,林宁),同济医科大学附属协和医院神经外科(赵洪洋)
摘    要:1984年3月~1985年4月连续完成颈内动脉系脑动脉瘤显微手术9例,操作常规按照Ya sargil法,作了适当修改:共计动脉瘤12个(3例为多发性),包括1例颈内动脉分叉处巨大无颈动脉瘤的孤立加EIAB一期手术,皆取得良好效果。术后脑血管造影复查动脉瘤均已完全消失,痊愈出院。随访6~12月,皆恢复正常生活与工作,无后遗症。

关 键 词:脑动脉瘤  显微外科技术  夹闭术  孤立术  颅内-颅外动脉搭桥术

Microsurgical Techniques for Cerebral Aneurysms
Zhu Xianli,Wang Zhanchun,Nie Shibin,Lin Ning,Zhao Hongyang. Microsurgical Techniques for Cerebral Aneurysms[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1986, 0(4)
Authors:Zhu Xianli  Wang Zhanchun  Nie Shibin  Lin Ning  Zhao Hongyang
Affiliation:Zhu Xianli,Wang Zhanchun,Nie Shibin,Lin Ning,Zhao HongyangDepartment of Neurosurgery,Xiehe Hospital,Tongji Medical University,Wuhan
Abstract:A consecutive series of 9 patients with cerebral aneurysms of the anterior circulation,treated with microsurgical technique in the period from March 1984 to April 1985,is presented.The routine of the surgical procedure based on Yasar-gil's method modified according to our present condition was established.There were 12 aneurysms (3 cases were multiple) including a giant no-neck aneurysm at the bifurcation of internal carotid artery treated with trapping and extracra-nial-intracranial arterial bypass in one stage.The result of all the cases was good.Postoperative cerebral angiography proved that the aneurysms were all disappeared completely.The patients were followed up from 6 months to 1 year,all have recovered normal life and work without neurological deficit.Some details of the operative procedure were discussed.
Keywords:cerebral aneurysm  microsurgical technique  clipping  trapping  extracranial-intracranial arterial bypass
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