CAJ | 학술논문

目的：探讨单侧扩大翼点入路显微手术治疗颅内多发动脉瘤术后相关并发症的预防及处理。方法：对我院2006年9月至2013年9月26例行单侧扩大翼点入路显微手术治疗颅内多发动脉瘤患者进行回顾性分析，观察术后并发症。结果：本组颅内多发动脉瘤术后脑血管痉挛6例（23．07％），脑积水2例（7．69％），癫痫发作2例（7．69％），低钠血症4例（15．38％），高钠血症3例（11．54％），颅内感染1例（3．85％）。结论：单侧扩大翼点入路显微手术治疗颅内多发动脉瘤术后的并发症主要有：脑血管痉挛、脑积水、癫痫发作、颅内感染、电解质紊乱等，术中规范操作及术后合理的治疗措施是减少并发症及其危害的关键。
목적：탐토단측확대익점입로현미수술치료로내다발동맥류술후상관병발증적예방급처리。방법：대아원2006년9월지2013년9월26례행단측확대익점입로현미수술치료로내다발동맥류환자진행회고성분석，관찰술후병발증。결과：본조로내다발동맥류술후뇌혈관경련6례（23．07％），뇌적수2례（7．69％），전간발작2례（7．69％），저납혈증4례（15．38％），고납혈증3례（11．54％），로내감염1례（3．85％）。결론：단측확대익점입로현미수술치료로내다발동맥류술후적병발증주요유：뇌혈관경련、뇌적수、전간발작、로내감염、전해질문란등，술중규범조작급술후합리적치료조시시감소병발증급기위해적관건。
Objective:To investigate the prevention and treatment of postoperative complication after Unilateral pterional approach to microsurgical treatment of multiple intracranial aneurysms.Methods:The clinical data of 26 patients with multiple intracranial aneurysms from Sept..2006 to Sept..2013 were ana-lyzed,to observe the complications .Results:There were 6 (23.07%)cases of cerebral vasospasm,2(7.69%)cases of hydrocephalus,2(7.69%)cases of sei-zures,4(15.38%)case of hyponatremia,3(1 1.54%)case of hypernatremia,and1(3.85%)cases of intracranial infection postoperatively Conclusions:The ma-jor complications after Unilateral pterional approach to microsurgical treatment of multiple intracranial aneurysms includes cerebral vasospasm,hydrocephalus,sei-zures,ihyponatremia,hypernatremia,and intracranial infection et a1 .Operative techniques and postoperative comprehensive management play key roles in impro-ving the clinical outcome and reducing the postoperative complication.