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86例颅内动脉瘤的显微外科治疗

[Microsurgical treatment of 86 cases of intracranial aneurysms].

作者信息

Zhong M, Zheng W, Wu J

机构信息

Department of Neurosurgery, First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2001 Sep;39(9):664-6.

Abstract

OBJECTIVE

To summarize the microsurgical experience in the treatment of intracranial aneurysms.

METHOD

The clinical materials, surgical modes and prognosis of 86 cases of clipped intracranial aneurysms were retrospectively reviewed.

RESULTS

Of the 86 cases, 69 recovered, 10 were moderately disabled, 2 severely disabled, and 5 died.

CONCLUSIONS

To avoid rerupture, aneurysms should be treated as soon as possible when the diagnosis was established. Proper management of rupture of aneurysms during operation is the key of success. Multiple aneurysms are better to be clipped in one stage. "de novo" aneurysms could be detected early by long-term angiography.

摘要

目的

总结颅内动脉瘤显微手术治疗的经验。

方法

回顾性分析86例颅内动脉瘤夹闭术患者的临床资料、手术方式及预后。

结果

86例患者中,69例恢复良好,10例中度残疾,2例重度残疾,5例死亡。

结论

为避免再破裂,动脉瘤确诊后应尽早治疗。术中妥善处理动脉瘤破裂是手术成功的关键。多发动脉瘤最好一期夹闭。长期血管造影可早期发现“新生”动脉瘤。

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