Liu Wei, Qu Yuan-Ming, Lai Jian-Jun, Xu Guang-Ming
Department of Neurosurgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, China.
Zhonghua Wai Ke Za Zhi. 2004 Nov 22;42(22):1381-3.
To explore clinic characteristics of proximal anterior cerebral artery aneurysms and analyzed operative techniques.
A review was performed of a total of 362 patients whose aneurysms were surgically treated from June 1995 to December 2003, the morbidity of A(1) aneurysms was 2.2%. To reviewed clinical data of 8 proximal anterior cerebral artery aneurysms patients.
All of the aneurysms developed at the takeoff point of perforating arteries, the recurrent artery of Heubner in three cases, the medial proximal lenticulostriate artery in five cases. Six cases aneurysms projected posteriorly, two cases projected inferiorly in the surgical field. The shape of the aneurysms was saccular in all cases and diameter no larger than 5 mm in six cases. Patients were clipped satisfactorily, excellent condition in 7 patient, good condition in one.
It is important to preserve the perforating arteries and use suitable clip by avoiding cerebral ischemia.
探讨大脑前动脉近端动脉瘤的临床特征并分析手术技巧。
回顾性分析1995年6月至2003年12月期间接受手术治疗的362例动脉瘤患者，A（1）段动脉瘤的发病率为2.2%。回顾性分析8例大脑前动脉近端动脉瘤患者的临床资料。
所有动脉瘤均发生在穿支动脉的起始点，其中3例位于Heubner回返动脉，5例位于内侧近端豆纹动脉。6例动脉瘤在手术视野中向后突出，2例向下突出。所有病例动脉瘤形状均为囊状，6例直径不超过5mm。患者夹闭效果满意，7例患者状况良好，1例良好。
保留穿支动脉并使用合适的夹子以避免脑缺血很重要。
