[眶上锁孔入路显微手术治疗前循环动脉瘤]
[Supraorbital keyhole approach for microsurgical treatment of aneurysms in the anterior circulation].
作者信息
Cao Zuo-Wei, Shi Ke-Shan, Jin Hu, Chen Huan-Xiong, Shi Xiao-Feng, Chen Xiao-Dong, Lin Peng, Yan Shan, Chen Min, Li Zhi-Yong
机构信息
Department of Neurosurgery, Haikou Municipal Hospital, Haikou 570208, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2004 Jun 7;42(11):644-6.
OBJECTIVE
To study the method with endoscope-assisted microsurgical technique through the supraorbital keyhole approach to treat aneurysms in the anterior circulation.
METHODS
According to preoperative diagnostic imagings, to work out of the individual operation planning. Skin incision was made in the eyebrow, and the diameter of supraorbital craniotomy was about 2 cm, endoscope-assisted microsurgical technique was used to clip aneurysm. The technique was used in the most recent 12 consecutive patients.
RESULTS
Five different kinds of aneurysms in the anterior circulation were clipped through this method and 12 patients were cured. One patient, intraoperative accidental aneurysm rupture occurred. There were no approach-related complications.
CONCLUSIONS
This endoscope-assisted microsurgical technique via supraorbital keyhole approach is a safe, minimal invasive and effective way for the treatment of aneurysms in the anterior circulation, and there is more sufficient operating space.
目的
研究经眶上锁孔入路在内镜辅助显微外科技术下治疗前循环动脉瘤的方法。
方法
根据术前诊断影像制定个体化手术方案。于眉部做皮肤切口，眶上开颅直径约2cm，采用内镜辅助显微外科技术夹闭动脉瘤。该技术应用于最近连续12例患者。
结果
通过该方法夹闭了前循环5种不同类型的动脉瘤，12例患者治愈。1例患者术中动脉瘤意外破裂。无与入路相关的并发症。
结论
经眶上锁孔入路的内镜辅助显微外科技术是治疗前循环动脉瘤的一种安全、微创且有效的方法，且有更充足的手术操作空间。
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