CAJ | 학술논문

目的探讨颅内动脉瘤的诊断、手术时机和显微手术方法.方法回顾性分析我院2005年9月至2009年7月收治的65例颅内动脉瘤患者经显微外科治疗的临床资料.结果 65例患者共76个动脉瘤中:70个行瘤颈夹闭术、4个行动脉瘤包裹术、2个术中动脉瘤破裂.出院时按格拉斯哥结局量表(GOS)评定手术疗效:58例恢复良好、3例中度病残、2例重度病残、1例植物生存、1例死亡.结论 CT、MRI、计算机体层摄影血管成像(CTA)和数字减影血管造影(DSA)可为颅内动脉瘤的诊断提供重要的信息.显微手术夹闭是颅内动脉瘤的一种成熟、可靠和有效的治疗方法.早期手术能减少再出血,降低病死率和致残率.
목적 탐토로내동맥류적진단、수술시궤화현미수술방법.방법 회고성분석아원2005년9월지2009년7월수치적65례로내동맥류환자경현미외과치료적림상자료.결과 65례환자공76개동맥류중:70개행류경협폐술、4개행동맥류포과술、2개술중동맥류파렬.출원시안격랍사가결국량표(GOS)평정수술료효:58례회복량호、3례중도병잔、2례중도병잔、1례식물생존、1례사망.결론 CT、MRI、계산궤체층섭영혈관성상(CTA)화수자감영혈관조영(DSA)가위로내동맥류적진단제공중요적신식.현미수술협폐시로내동맥류적일충성숙、가고화유효적치료방법.조기수술능감소재출혈,강저병사솔화치잔솔.
Objective To explore the diagnostic procedure, operative time and microsurgical technique in the patients with intracranial aneurysm Methods The clinical data of 65 intracranial aneurysms patients underwent microsurgery in our hospital from September 2005 and July 2009 were analyzed retrospectively. Results There were 76 intracranial aneurysms in 56 patients, including 70 cases of clipped aneurysms, 4 cases were wrapped aneurysms and 2 cases were ruptured aneurysms. According to GOS, of 65 patients with intracranial aneurysms, 58 patients were recovered well, 3 patients were moderately disabled, 2 patients were severely disabled, 1 patient vegetatively survived and 1 died after the surgery. Conclusions CT, magnetic resonance angiography, CT angiography and Digital subtraction angiography can provide important information for diagnosis of intracranial aneurysms. Microsurgi-cal clipping of intracranial aneurysms still is a reliable and effective method. Early microsurgery for ruptured in-tracranial aneurysms can decrease rebleeding, disabled rate and mortality.