颅内前循环巨大动脉瘤的显微手术技巧
Journal of Shanxi Medical University(2017)
Abstract
目的 探讨颅内前循环巨大动脉瘤的显微手术技巧.方法 回顾性分析西京医院神经外科2013-09~ 2016-09显微手术治疗的14例颅内前循环巨大动脉瘤患者的临床资料,所有患者均为栓塞高风险病例,均行翼点入路,术中常规吲哚菁绿荧光造影监测手术效果,术后长期随访观察患者预后.结果 14例前循环巨大动脉瘤患者均经翼点入路成功夹闭动脉瘤,格拉斯哥预后评分(GOS)良好12例(85.7%)、差1例(7.1%)、死亡1例(7.1%).结论 显微手术可有效夹闭颅内前循环巨大动脉瘤,对于特殊类型动脉瘤,需采用相应的特殊处理措施.
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Key words
intracranial aneurysm,giant aneurysm,anterior circulation,microsurgery
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