CAJ | 학술논문

目的总结小脑后下动脉( PICA)远端动脉瘤的临床特点,探讨其临床治疗方式的选择.方法回顾性研究16例PICA远端动脉瘤的临床特点及治疗.6例行后正中入路开颅动脉瘤夹闭术；4例行枕下远外侧入路动脉瘤夹闭术；6例行血管内栓塞术.结果术后15例恢复良好,1例死亡,1例合并交通性脑积水,行脑室-腹腔分流术.15例出院时均无神经系统阳性体征,随访患者恢复良好.结论对于PICA远端动脉瘤的治疗,应根据患者的临床情况及动脉瘤和PICA的形态,可以选择开颅夹闭或血管内栓塞.
목적 총결소뇌후하동맥( PICA)원단동맥류적림상특점,탐토기림상치료방식적선택.방법 회고성연구16례PICA원단동맥류적림상특점급치료.6례행후정중입로개로동맥류협폐술；4례행침하원외측입로동맥류협폐술；6례행혈관내전새술.결과 술후15례회복량호,1례사망,1례합병교통성뇌적수,행뇌실-복강분류술.15례출원시균무신경계통양성체정,수방환자회복량호.결론 대우PICA원단동맥류적치료,응근거환자적림상정황급동맥류화PICA적형태,가이선택개로협폐혹혈관내전새.
Objective To study the clinical features and surgical treatment of aneurysms of distal part of posterior inferior cerebellar artery (PICA).Methods The clinical features and treatment of sixteen cases with aneurysms of distal part of PICA within last 3 years were studied retrospectively.Six patients underwent clipping of aneurysm through the middle posterior approach,four underwent clipping through suboccipital lateral approach,and the other underwent endovascular embolization.Results The postoperative course of fifteen patients was uneventful and one patient dead from the respiratory and circulatory complications.Fifteen patients were discharged without neurological deficits and remained well in follow - up.Conclusions As for a given patient with aneurysms of distal part of PICA,whether surgical or endovascular treatment should be selected depending on the attitude of the neurosurgeon and the patient,especially the clinical condition of the patient and morphology of the artery and aneurysm.