CAJ | 학술논문

目的总结146例多发颅内前循环动脉瘤的显微外科治疗经验.方法对病例中所含的动脉瘤进行判定,将其划分为责任动脉瘤与非责任动脉瘤,责任动脉瘤予以夹闭治疗,非责任动脉瘤予以选择性夹闭治疗.结果 146例中,术后GOS评分5分者136例,4分者6例、3分者1例、1分(死亡)者3例；术后3个月至6个月时行CTA检查随访者143例,见夹闭的动脉瘤无复发,未予治疗的动脉瘤无变化；电话随访5 -10年者128例,随访至6年时未予治疗的非责任动脉瘤破裂出血1例,治疗后恢复良好.结论对多发颅内前循环动脉瘤进行选择性的夹闭治疗能获得满意的预后.
목적 총결146례다발로내전순배동맥류적현미외과치료경험.방법 대병례중소함적동맥류진행판정,장기화분위책임동맥류여비책임동맥류,책임동맥류여이협폐치료,비책임동맥류여이선택성협폐치료.결과 146례중,술후GOS평분5분자136례,4분자6례、3분자1례、1분(사망)자3례；술후3개월지6개월시행CTA검사수방자143례,견협폐적동맥류무복발,미여치료적동맥류무변화；전화수방5 -10년자128례,수방지6년시미여치료적비책임동맥류파렬출혈1례,치료후회복량호.결론 대다발로내전순배동맥류진행선택성적협폐치료능획득만의적예후.
Objective To summarize our experiences with a clipping microsurgical treatment and prognoses of 146 cases with multiple intracranial anterior circulation aneurysms.Methods These aneurysms were divided into responsible and non -responsible aneurysms.Responsible aneurysms were given priority,non- responsible aneurysms were given the selective treatment. Results Among 146 patients,a postoperative Glasgow outcome score (GOS) of grade 5 was found in 136 cases,grade 4 in 6 cases,grade 3 in 1 case,and death ( grade 1 ) occurred in 3 cases.At 3 - and 6 - month postsurgical follow - ups,computed tomography angiography (CTA) revealed completed clipping of all responsible aneurysms and no changes in the non - responsible in 143 cases.Apart from the 3 cases in which death occurred,we followed up a total of 128 cases between 5 and 10 years after surgery.Hemorrhage occurred in only one case of non -responsible aneurysms that had not received treatment,6 years after surgery,and a good prognosis was achieved after retreatment.Conclusion Satisfactory prognoses were achieved in the selective treatment of multiple intracranial anterior circulation aneurysms.