• 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

我的手术方法——用于夹闭大脑中动脉动脉瘤的改良外侧裂入路

How I do it - focused Sylvian approach for clipping of middle cerebral artery aneurysms.

作者信息

Neyazi Milad, Khajuria Rajiv Kumar, Muhammad Sajjad

机构信息

Department of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

出版信息

Acta Neurochir (Wien). 2025 Jan 10;167(1):9. doi: 10.1007/s00701-025-06423-9.

DOI:10.1007/s00701-025-06423-9
PMID:39789366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11717822/
Abstract

BACKGROUND

The Focused Sylvian Approach (FSA) is a refined, minimally invasive technique for clipping small to medium-sized middle cerebral artery (MCA) aneurysms, prioritizing safety and aesthetics.

METHOD

The craniotomy remains confined to the superior temporal line, with the incision concealed within the temporal muscle. The Sylvian fissure is carefully dissected to preserve venous structures.

CONCLUSION

FSA achieves optimal vascular control with superior cosmetic outcomes while maintaining adequate exposure for safe aneurysm clipping.

摘要

背景

大脑外侧裂入路（FSA）是一种用于夹闭中小型大脑中动脉（MCA）动脉瘤的改良微创技术，优先考虑安全性和美观性。

方法

开颅手术仍局限于颞上线，切口隐藏在颞肌内。仔细解剖大脑外侧裂以保留静脉结构。

结论

FSA在保持安全夹闭动脉瘤所需的充分暴露的同时，实现了最佳的血管控制，并具有更好的美容效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/70d1f489b664/701_2025_6423_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/2fc7c41a8011/701_2025_6423_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/96dbd4b7a6ea/701_2025_6423_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/89068dd7e096/701_2025_6423_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/70d1f489b664/701_2025_6423_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/2fc7c41a8011/701_2025_6423_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/96dbd4b7a6ea/701_2025_6423_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/89068dd7e096/701_2025_6423_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd5/11717822/70d1f489b664/701_2025_6423_Fig4_HTML.jpg

相似文献

1
How I do it - focused Sylvian approach for clipping of middle cerebral artery aneurysms.我的手术方法——用于夹闭大脑中动脉动脉瘤的改良外侧裂入路
Acta Neurochir (Wien). 2025 Jan 10;167(1):9. doi: 10.1007/s00701-025-06423-9.
2
[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.
3
Keyhole Mini-Pterional Craniotomy for Clipping of Bilateral Middle Cerebral Artery Aneurysms.锁孔微创翼点入路夹闭双侧大脑中动脉动脉瘤
World Neurosurg. 2025 Mar;195:123702. doi: 10.1016/j.wneu.2025.123702. Epub 2025 Feb 18.
4
Focused opening of the sylvian fissure for microsurgical management of MCA aneurysms.为大脑中动脉动脉瘤的显微手术治疗而进行的侧裂池的局限性开放。
Acta Neurochir (Wien). 2014 Jan;156(1):17-25. doi: 10.1007/s00701-013-1894-7. Epub 2013 Oct 8.
5
Selection Strategy for Optimal Keyhole Approaches for Middle Cerebral Artery Aneurysms: Lateral Supraorbital Versus Minipterional Craniotomy.大脑中动脉动脉瘤最佳锁孔入路的选择策略：眶上外侧入路与微翼点开颅术的比较
World Neurosurg. 2019 Feb;122:e349-e357. doi: 10.1016/j.wneu.2018.09.238. Epub 2018 Oct 13.
6
Comparison Between Minipterional Craniotomy Associated With Focused Sylvian Fissure Opening and Standard Pterional Approach With Extended Sylvian Fissure Dissection for Treatment of Unruptured Middle Cerebral Artery Aneurysms.经额微创小骨窗开颅联合局限侧裂入路与标准翼点入路扩大侧裂分离治疗未破裂大脑中动脉动脉瘤的对比研究。
World Neurosurg. 2021 Feb;146:e1293-e1300. doi: 10.1016/j.wneu.2020.11.150. Epub 2020 Dec 5.
7
Minipterional Craniotomy for Treatment of Unruptured Middle Cerebral Artery Aneurysms. A Single-Center Comparative Analysis with Standard Pterional Approach as Regard to Safety and Efficacy of Aneurysm Clipping and the Advantages of Reconstruction.翼点小骨瓣开颅术治疗未破裂大脑中动脉动脉瘤：与标准翼点入路在动脉瘤夹闭安全性和有效性及重建优势方面的单中心对比分析
Acta Neurochir Suppl. 2017;124:93-100. doi: 10.1007/978-3-319-39546-3_15.
8
The pterional and suprabrow approaches for aneurysm surgery: a systematic review of intraoperative rupture rates in 9488 aneurysms.翼点开颅术和眉弓上入路治疗颅内动脉瘤手术：9488 个动脉瘤术中破裂率的系统评价。
World Neurosurg. 2013 Dec;80(6):836-44. doi: 10.1016/j.wneu.2013.02.072. Epub 2013 Feb 28.
9
A Novel Surgical Classification of the Sylvian Fissure and Its Implications on the Clinical and Radiological Outcomes of Patients Undergoing Clipping for Unruptured Middle Cerebral Artery Aneurysms.大脑外侧裂的一种新型手术分类及其对未破裂大脑中动脉动脉瘤夹闭患者临床和影像学结果的影响
World Neurosurg. 2023 May;173:e639-e646. doi: 10.1016/j.wneu.2023.02.121. Epub 2023 Mar 4.
10
How I do it-Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms.我是这样做的——采用赫尔辛基式小翼点入路开颅夹闭大脑中动脉分叉部动脉瘤。
Acta Neurochir (Wien). 2023 Feb;165(2):489-493. doi: 10.1007/s00701-022-05458-6. Epub 2022 Dec 29.

本文引用的文献

1
Virtual reality guided focused Sylvian approach for clipping unruptured middle cerebral artery aneurysms.虚拟现实引导下的聚焦外侧裂入路夹闭未破裂大脑中动脉动脉瘤
Front Surg. 2024 Jul 1;11:1411396. doi: 10.3389/fsurg.2024.1411396. eCollection 2024.
2
Immersive Surgical Anatomy of the Pterional Approach.翼点入路的沉浸式手术解剖学
Cureus. 2019 Jul 23;11(7):e5216. doi: 10.7759/cureus.5216.
3
Microsurgical dissection of Sylvian fissure-short technical videos of third generation cerebrovascular neurosurgeons.Sylvian 裂显微解剖——第三代脑血管神经外科医生的简短技术视频。
Acta Neurochir (Wien). 2019 Sep;161(9):1743-1746. doi: 10.1007/s00701-019-03999-x. Epub 2019 Jul 8.
4
Selection Strategy for Optimal Keyhole Approaches for Middle Cerebral Artery Aneurysms: Lateral Supraorbital Versus Minipterional Craniotomy.大脑中动脉动脉瘤最佳锁孔入路的选择策略：眶上外侧入路与微翼点开颅术的比较
World Neurosurg. 2019 Feb;122:e349-e357. doi: 10.1016/j.wneu.2018.09.238. Epub 2018 Oct 13.
5
Focused opening of the Sylvian fissure for the management of middle cerebral artery aneurysms.用于处理大脑中动脉动脉瘤的外侧裂定向开放术。
Surg Neurol Int. 2018 Sep 10;9:184. doi: 10.4103/sni.sni_207_18. eCollection 2018.
6
How mini can minipterional craniotomies get?翼点小骨瓣开颅术能有多小？
Neurosurgery. 2015 Jan;76(1):E101-2. doi: 10.1227/NEU.0000000000000565.
7
Microscope-integrated near-infrared indocyanine green videoangiography during surgery of intracranial aneurysms: the Helsinki experience.颅内动脉瘤手术中显微镜集成近红外吲哚菁绿血管造影术：赫尔辛基经验
Surg Neurol. 2009 May;71(5):543-50; discussion 550. doi: 10.1016/j.surneu.2009.01.027. Epub 2009 Mar 27.
8
Microneurosurgical management of middle cerebral artery bifurcation aneurysms.大脑中动脉分叉部动脉瘤的显微神经外科治疗
Surg Neurol. 2007 May;67(5):441-56. doi: 10.1016/j.surneu.2006.11.056.
9
Transient cardiac standstill induced by adenosine in the management of intraoperative aneurysmal rupture: technical case report.腺苷诱发的短暂性心脏停搏在术中动脉瘤破裂处理中的应用：技术病例报告
Neurosurgery. 2000 Jul;47(1):240-3. doi: 10.1097/00006123-200007000-00053.
10
Surgical management of middle cerebral artery aneurysms: experience with transsylvian and superior temporal gyrus approaches.
Surg Neurol. 1995 Jan;43(1):15-22; discussion 22-4. doi: 10.1016/0090-3019(95)80032-c.