内窥镜辅助下的脑动脉瘤显微手术

Endoscope-assisted microsurgery for cerebral aneurysms.

作者信息

Kato Y, Sano H, Nagahisa S, Iwata S, Yoshida K, Yamamoto K, Kanno T

机构信息

Department of Neurosurgery, Fujita Health University, Aichi, Japan.

出版信息

Minim Invasive Neurosurg. 2000 Jun;43(2):91-7. doi: 10.1055/s-2000-12260.

DOI:10.1055/s-2000-12260

PMID:10943987

Abstract

We performed endoscope-assisted microsurgery for 64 patients with cerebral aneurysms from June 1998 to January 1999. Two patients were treated under picture-in-picture imaging using a surgical microscope connected with an endoscopic-image display system. The study included 34 patients with incidental discovery: 3 IC oph, aneurysm, 1 from cavernous (C3) portion, 8 at ICPC, 1 from infundibular dilatation, 2 at IC bifurcation, 6 at AcoA, 1 at A1A2, 8 at MCA, 1 at P1, 1 from basilar tip, 1 at AICA, 1 at VA and 1 from PICA. The study also included 30 patients with subarachnoid hemorrhage: 5 ICPC, 2 from anterior choroidal, 1 from IC infundibular dilatation, 10 from AcoA, 2 from A2A3, 7 from MCA, 2 from basilar tip and 1 from PICA. They were classified into gr. 1 for 2, gr. 2 for 8, gr. 3 for 10, gr. 4 for 7, and gr. 5 for 3 cases.

摘要

1998年6月至1999年1月期间，我们对64例脑动脉瘤患者实施了内镜辅助显微手术。2例患者在使用与内镜图像显示系统相连的手术显微镜的画中画成像下接受治疗。该研究纳入了34例偶然发现的患者：3例颈内动脉眼段动脉瘤，1例海绵窦段（C3）动脉瘤，8例颈内动脉后交通段动脉瘤，1例漏斗部扩张，2例颈内动脉分叉处动脉瘤，6例前交通动脉瘤，1例大脑前动脉A1A2段动脉瘤，8例大脑中动脉瘤，1例大脑后动脉P1段动脉瘤，1例基底动脉尖动脉瘤，1例小脑前下动脉瘤，1例椎动脉动脉瘤，1例小脑后下动脉瘤。该研究还纳入了30例蛛网膜下腔出血患者：5例颈内动脉后交通段动脉瘤，2例脉络膜前动脉动脉瘤，1例颈内动脉漏斗部扩张，10例前交通动脉瘤，2例大脑前动脉A2A3段动脉瘤，7例大脑中动脉瘤，2例基底动脉尖动脉瘤，1例小脑后下动脉瘤。它们被分为2例1级、8例2级、10例3级、7例4级和3例5级。