CAJ | 학술논문

目的探讨前循环多发动脉瘤显微手术的策略及技巧. 方法回顾性分析河北医科大学第二医院神经外科自2010年10月至2013年3月收治的实施手术治疗的85例前循环多发动脉瘤患者的临床资料、手术策略及技巧.根据格拉斯哥预后评分(GOS)对治疗结果进行分级评定. 结果一期手术79例,分期手术6例,经一侧处理双侧动脉瘤7例,双侧开颅26例.夹闭动脉瘤183个,包裹5个.根据GOS结果评定:良好76例(GOS 4～5分),差7例(GOS 2～3分),死亡2例. 结论前循环多发动脉瘤应力争早期一期手术处理,科学正确的手术策略、精巧细致的分离暴露方法对于手术的成功及患者的疗效至关重要.
목적 탐토전순배다발동맥류현미수술적책략급기교. 방법 회고성분석하북의과대학제이의원신경외과자2010년10월지2013년3월수치적실시수술치료적85례전순배다발동맥류환자적림상자료、수술책략급기교.근거격랍사가예후평분(GOS)대치료결과진행분급평정. 결과 일기수술79례,분기수술6례,경일측처리쌍측동맥류7례,쌍측개로26례.협폐동맥류183개,포과5개.근거GOS결과평정:량호76례(GOS 4～5분),차7례(GOS 2～3분),사망2례. 결론 전순배다발동맥류응력쟁조기일기수술처리,과학정학적수술책략、정교세치적분리폭로방법대우수술적성공급환자적료효지관중요.
Objective To summarize the experience of surgical strategies and operational skills on multiple intracranial aneurysms of anterior circulation.Methods The clinical data of 85 patients with multiple intracranial aneurysms of anterior circulation,admitted to our hospital from October 2010 to March 2011,and the surgical strategies and operational skills on the aneurysms were retrospectively analyzed.According to Glasgow outcome scale (GOS) scores,the curative effects in these patients were rated.Results One-stage surgery was performed in all aneurysms of 79 patients and staged surgeries in 6 patients.Bilateral aneurysms were treated through unilateral craniotomy in 7 patients and bilateral craniotomy in 26 patients.One hundred and eighty-three aneurysms were clipped and 5 were wrapped.According to GOS scores,the curative effects were poor in 7 patients (GOS 2-3) and good in 76 (GOS 4-5),and 2 patients died.Conclusions Multiple intracranial aneurysms of anterior circulation should be treated as soon as possible.The reasonable surgical strategies and delicate surgical skills are critical to the success of surgeries.