• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

前交通动脉瘤的内镜夹闭术。

Endoscopic clipping of an anterior communicating artery aneurysm.

作者信息

Kumar Sanjeev, Sahana Debabrata, Sasapardhi Ghanshyam, Rathore Lavlesh

机构信息

Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, 492001, India.

出版信息

Acta Neurochir (Wien). 2023 May;165(5):1227-1231. doi: 10.1007/s00701-023-05561-2. Epub 2023 Mar 20.

DOI:10.1007/s00701-023-05561-2
PMID:36939929
Abstract

BACKGROUND

Anterior communicating artery aneurysms are most prone to rupture. Surgically, they are conventionally being managed by a pterional approach. Some neurosurgeons prefer a supraorbital keyhole approach in select cases. Fully endoscopic clipping of such aneurysms is seldom described.

METHOD

We clipped an antero-inferiorly directed anterior communicating artery aneurysm endoscopically via a supraorbital keyhole approach. The intraoperative aneurysmal rupture was also managed endoscopically. The patient made an excellent postoperative recovery without any neurological deficits.

CONCLUSION

Select cases of anterior communicating artery aneurysms can be clipped endoscopically using standard instruments and adhering to the basic principles of aneurysm clipping.

摘要

背景

前交通动脉瘤最易破裂。在手术方面，传统上采用翼点入路进行治疗。一些神经外科医生在特定病例中更倾向于采用眶上锁孔入路。很少有关于此类动脉瘤全内镜夹闭的描述。

方法

我们通过眶上锁孔入路在内镜下夹闭了一例向前下方向的前交通动脉瘤。术中动脉瘤破裂也在内镜下进行了处理。患者术后恢复良好，无任何神经功能缺损。

结论

部分前交通动脉瘤病例可使用标准器械并遵循动脉瘤夹闭的基本原则在内镜下进行夹闭。

相似文献

1
Endoscopic clipping of an anterior communicating artery aneurysm.前交通动脉瘤的内镜夹闭术。
Acta Neurochir (Wien). 2023 May;165(5):1227-1231. doi: 10.1007/s00701-023-05561-2. Epub 2023 Mar 20.
2
Keyhole Approach for Clipping Intracranial Aneurysm: Comparison of Supraorbital and Pterional Keyhole Approach.锁孔入路夹闭颅内动脉瘤：眶上和翼点锁孔入路的比较
World Neurosurg. 2017 Jun;102:350-359. doi: 10.1016/j.wneu.2017.02.025. Epub 2017 Feb 22.
3
Minimally invasive keyhole craniotomies for microsurgical clipping of cerebral aneurysms: comparative meta-analysis of the mini-pterional and supraorbital keyhole approaches.微创锁孔开颅术显微夹闭颅内动脉瘤：迷你翼点和眶上锁孔入路的比较荟萃分析。
Neurosurg Rev. 2024 Jul 26;47(1):352. doi: 10.1007/s10143-024-02531-9.
4
[Operative neurosurgery: personal view and historical backgrounds (3). Anterior circulation--pterional approach].[手术神经外科学：个人观点与历史背景（3）。前循环——翼点入路]
No Shinkei Geka. 2007 Jul;35(7):703-18.
5
Keyhole Alternatives to Pterional Craniotomy for the Microsurgical Clipping of Anterior Circulation Aneurysms: Technical Pearls, Surgical Results, and a Case Selection Algorithm.锁孔入路替代翼点入路显微夹闭前循环动脉瘤的技术要点、手术结果及病例选择算法。
Neurol India. 2024 Sep 1;72(5):1047-1053. doi: 10.4103/neurol-india.ni_1154_22. Epub 2024 Oct 19.
6
Comparative analysis of supra-orbital keyhole approach and pterional approach for surgical clipping of intracranial anterior circulation aneurysms in patients with favorable Hunt and Hess grades.额上锁孔入路与翼点入路手术夹闭颅内前循环动脉瘤的优势 Hunt 和 Hess 分级患者的对比分析。
Clin Neurol Neurosurg. 2024 Apr;239:108230. doi: 10.1016/j.clineuro.2024.108230. Epub 2024 Mar 3.
7
Endoscopic controlled clipping of anterior circulation aneurysms via keyhole approach: Our initial experience.经锁孔入路内镜控制下夹闭前循环动脉瘤：我们的初步经验。
Neurol India. 2015 Nov-Dec;63(6):874-80. doi: 10.4103/0028-3886.170095.
8
Microsurgical Treatment of Posterior Cerebral Circulation Aneurysms Via Keyhole Approaches.经锁孔入路显微手术治疗大脑后循环动脉瘤
World Neurosurg. 2015 Dec;84(6):1758-64. doi: 10.1016/j.wneu.2015.07.046. Epub 2015 Jul 26.
9
Long-Term Neurological and Radiological Results of Consecutive 63 Unruptured Anterior Communicating Artery Aneurysms Clipped via Lateral Supraorbital Keyhole Minicraniotomy.连续 63 例未破裂前交通动脉瘤经外侧眶上锁孔小骨窗夹闭的长期神经放射学结果。
Oper Neurosurg (Hagerstown). 2018 Feb 1;14(2):95-103. doi: 10.1093/ons/opx244.
10
Clipping of bilateral MCA aneurysms and a coiled ACOM aneurysm through a modified lateral supraorbital craniotomy.通过改良眶上外侧开颅术夹闭双侧大脑中动脉动脉瘤和栓塞前交通动脉瘤。
Neurosurg Focus. 2015 Jan;38(VideoSuppl1):Video19. doi: 10.3171/2015.V1.FOCUS14604.

引用本文的文献

1
Fully endoscopic keyhole approach for intracranial aneurysm clipping: clinical outcomes and technical note.完全内镜锁孔入路夹闭颅内动脉瘤：临床结果及技术要点
Eur J Med Res. 2025 Apr 26;30(1):333. doi: 10.1186/s40001-025-02594-4.
2
Clipping of anterior circulation aneurysms using fully endoscopic-assisted minimally invasive keyhole craniotomy: a clinical study and analysis.使用全内镜辅助微创锁孔开颅术夹闭前循环动脉瘤：一项临床研究与分析
Neurosurg Rev. 2025 Mar 8;48(1):288. doi: 10.1007/s10143-025-03226-5.
3
Clipping aneurysms via a fully endoscopic transcranial approach.

本文引用的文献

1
Optimal Use of Temporary Clip Application during Aneurysm Surgery - In Search of the Holy Grail.动脉瘤手术中临时夹闭的最佳应用——探寻圣杯
Asian J Neurosurg. 2021 May 28;16(2):237-242. doi: 10.4103/ajns.AJNS_465_20. eCollection 2021 Apr-Jun.
2
Fully endoscopic clipping of anterior circulation cerebral aneurysms through transpalpebral approach: One step closer to robotic neurovascular surgery?经睑下入路完全内镜夹闭前循环脑动脉瘤：向机器人神经血管手术又迈进了一步？
J Clin Neurosci. 2021 Jun;88:142-146. doi: 10.1016/j.jocn.2021.03.016. Epub 2021 Apr 4.
3
Fronto-Orbital Variant of Supraorbital Keyhole Approach for Clipping Ruptured Anterior Circulation Aneurysms (f-Sokha).
通过全内镜经颅入路夹闭动脉瘤。
Sci Rep. 2024 Dec 30;14(1):32134. doi: 10.1038/s41598-024-83958-4.
额眶上锁孔入路夹闭前循环破裂动脉瘤的改良（f-Sokha）
Neurol India. 2020 Sep-Oct;68(5):1019-1027. doi: 10.4103/0028-3886.294827.
4
The Keyhole Approach in Anterior Circulation Aneurysm - Current Indication and Limitation with Review of Literature.前循环动脉瘤的锁孔入路——当前适应症与局限性及文献综述
Asian J Neurosurg. 2020 May 29;15(2):278-284. doi: 10.4103/ajns.AJNS_25_19. eCollection 2020 Apr-Jun.
5
Endoscopic controlled clipping of anterior circulation aneurysms via keyhole approach: Our initial experience.经锁孔入路内镜控制下夹闭前循环动脉瘤：我们的初步经验。
Neurol India. 2015 Nov-Dec;63(6):874-80. doi: 10.4103/0028-3886.170095.
6
Endoscope-assisted microsurgery for cerebral aneurysms.内窥镜辅助下的脑动脉瘤显微手术。
Neurol Med Chir (Tokyo). 1998;38 Suppl:33-4. doi: 10.2176/nmc.38.suppl_33.