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[显微外科手术消除幕上动脉瘤对手术部位附近早期结构和功能变化的影响]

[Effect of elimination of supratentorial aneurysms by micro- surgical method on early structural and functional changes near the operation site].

作者信息

Slósarek J, Kaczor R, Kojder I

机构信息

Kliniki Neurochirurgii PAM, Szczecinie.

出版信息

Neurol Neurochir Pol. 1992 May-Jun;26(3):353-8.

PMID:1280784
Abstract

On the basis of neurological, psychological and computed tomographic studies of the head early consequences of microsurgical elimination of supratentorial brain aneurysms were analysed in a group of 37 patients. It was shown that this method of aneurysm treatment may lead to brain oedema near the operation site. Oedema development was observed most frequently in cases of prolonged pressure exerted by spatulae on the brain tissue during the operation, aneurysm location in the anterior cerebral artery system and in cases operated on from 4 to 10 days after subarachnoid haemorrhage.

摘要

基于对37例患者进行的头部神经学、心理学及计算机断层扫描研究,分析了显微手术消除幕上脑动脉瘤的早期后果。结果表明,这种动脉瘤治疗方法可能导致手术部位附近的脑水肿。在手术过程中脑压板对脑组织施加长时间压力的情况下、动脉瘤位于大脑前动脉系统的情况下以及在蛛网膜下腔出血后4至10天进行手术的情况下,最常观察到水肿的发生。

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