内镜辅助下颅内动脉瘤夹闭(附12例报告)
Chinese Journal of Minimally Invasive Neurosurgery(2004)
Abstract
目的探讨前、后交通动脉瘤的内镜辅助显微手术夹闭方法及可能的风险和对策.方法对经过DSA造影证实的12例前交通、后交通动脉瘤病人,在显微镜的引导下置入内镜,观察瘤颈与周边血管、神经的关系,辅助分离瘤颈与周边的黏连;瘤颈夹闭后观察动脉瘤夹与周围结构的关系.结果 10例成功夹闭,2例因黏连致密而包裹治疗.结论内镜辅助的显微神经外科是颅内动脉瘤外科治疗的重大进步,可有效显露动脉瘤周边的结构,提高动脉瘤的手术夹闭率.
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Key words
intracranial aneurysms,clipping,endoscope-assisted
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