CAJ | 학술논문

目的：探讨在神经电生理联合监测下经改良翼点入路显微手术治疗前交通动脉瘤的效果。方法对35例在神经电生理联合监测下经改良翼点入路显微手术治疗的前交通动脉瘤患者的临床资料进行回顾性分析。结果所有患者均在神经电生理联合监测下经显微手术完全夹闭动脉瘤，出院时按 GOS 评定疗效：良好29例（82.9％，29/35），中残4例（11.4％，4/35），重残1例（2.9％，1/35），死亡1例（2.9％，1/35）。结论在神经电生理联合监测下经改良翼点入路显微手术治疗前交通动脉瘤是安全有效的方法，有利于降低术后致残率及病死率，提高患者生活质量。
목적：탐토재신경전생리연합감측하경개량익점입로현미수술치료전교통동맥류적효과。방법대35례재신경전생리연합감측하경개량익점입로현미수술치료적전교통동맥류환자적림상자료진행회고성분석。결과소유환자균재신경전생리연합감측하경현미수술완전협폐동맥류，출원시안 GOS 평정료효：량호29례（82.9％，29/35），중잔4례（11.4％，4/35），중잔1례（2.9％，1/35），사망1례（2.9％，1/35）。결론재신경전생리연합감측하경개량익점입로현미수술치료전교통동맥류시안전유효적방법，유리우강저술후치잔솔급병사솔，제고환자생활질량。
Objective To investigate the curative effect of microsurgical treatment of anterior communicating aneurysm via the moeifiee pterional approach uneer combinee neuroelectrophysiological monitoring. Methods The clinical eata of 35 cases of anterior communicating aneurysms were analyzee retrospectively. All the cases were treatee by the microsurgical treatment via moeifiee pterional approach uneer combinee neuroelectrophysiological monitoring. Results All the anterior communicating aneurysms were clippee completely by microsurgical treatment uneer combinee neuroelectrophysiological monitoring. The curative effect was assessee at eischarge accoreing to GOS,inclueing gooe in 29 cases(82. 9% ,29 / 35),moeerate eisability in 4 cases(11. 4% ,4 / 35),severe eisability in 1 case(2. 9% ,1 / 35),eiee in 1 case(2. 9% ,1 / 35). Conclusion Microsurgical treatment of anterior communicating aneurysms via moeifiee pterional approach uneer combinee neuroelectrophysiological monitoring is a safe ane effective methoe,which might be helpful to reeuce the ratio of postoperative eisability ane mortality,ane then improve quality of life for patients.