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[经硬膜外-硬膜内入路直接手术夹闭颈内动脉眼动脉瘤]

[Direct surgical clipping the carotid-ophthalmic aneurysms through a extradural-intradural approach].

作者信息

Zhao J, Wang Z, Wang S

机构信息

Department of Neurosurgery, Beijing Tiantan Hospital, CAMS.

出版信息

Zhonghua Yi Xue Za Zhi. 1998 Nov;78(11):813-6.

PMID:11038773
Abstract

OBJECTIVES

To exlore the approach for treating carotid-ophthalmic aneurysms and introduce experience in reducing postoperative complications.

METHODS

We treated 31 patients with carotid-ophthalmic aneurysms, which accounted for 8.3% of all intracranial aneurysms we encountered in 1994 and 1997, by direct surgical clipping.

RESULTS

No operative death occurred and the rate of postoperative complications was 19%. All aneurysms were occluded and later confirmed by angiography.

CONCLUSION

The direct clipping of aneurysms involving the carotid-ophthalmic artery is best treated by the extradural-intradural approach.

摘要

目的

探讨治疗颈眼动脉瘤的方法,并介绍减少术后并发症的经验。

方法

我们对31例颈眼动脉瘤患者进行了直接手术夹闭治疗,这些患者占我们在1994年和1997年所遇到的所有颅内动脉瘤的8.3%。

结果

无手术死亡发生,术后并发症发生率为19%。所有动脉瘤均被夹闭,随后经血管造影证实。

结论

涉及颈眼动脉的动脉瘤直接夹闭最好采用硬膜外-硬膜内入路治疗。

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Zhonghua Yi Xue Za Zhi. 1998 Nov;78(11):813-6.
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