经额颞微骨瓣及眶上锁孔开颅术治疗破裂前循环动脉瘤：单中心经验
Minipterional and Supraorbital Keyhole Craniotomies for Ruptured Anterior Circulation Aneurysms: Experience at Single Center.
作者信息
Tra Hoanh, Huynh Trong, Nguyen Ba
机构信息
Neurosurgical Department, Da Nang Hospital, Vietnam.
Neurosurgical Department, Da Nang Hospital, Vietnam.
出版信息
World Neurosurg. 2018 Jan;109:36-39. doi: 10.1016/j.wneu.2017.09.058. Epub 2017 Sep 19.
BACKGROUND
Keyhole craniotomy is a type of pterional craniotomy that involves a minimally invasive approach for the treatment of cerebral aneurysms. Currently, the minipterional keyhole craniotomy and supraorbital keyhole craniotomy procedures are frequently performed.
METHODS
We evaluated the feasibility and safety of supraorbital keyhole craniotomies and minipterional keyhole craniotomy for the clipping of ruptured intracranial aneurysms in the anterior cerebral circulation as an alternative to the pterional approach in a consecutive series of 25 patients.
RESULTS
The rate of intraoperative aneurysmal rupture was 8% (2/25), and all ruptures were safely controlled.
CONCLUSION
The success solely depends on careful selection of patients and the experience of the surgical team.
背景
锁孔开颅术是一种翼点开颅术，采用微创方法治疗脑动脉瘤。目前，微型翼点锁孔开颅术和眶上锁孔开颅术应用频繁。
方法
我们评估了眶上锁孔开颅术和微型翼点锁孔开颅术夹闭大脑前循环破裂颅内动脉瘤替代翼点入路的可行性和安全性，对连续25例患者进行了研究。
结果
术中动脉瘤破裂率为8%（2/25），所有破裂均得到安全控制。
结论
成功与否完全取决于患者的精心选择和手术团队的经验。
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