CAJ | 학술논문

目的：分析两种不同的手术入路行夹闭基底动脉分叉部动脉瘤，探讨该手术入路方式、规范和改进手术操作等措施，提高手术成功率和改善患者预后。方法回顾性分析10例基底动脉分叉部动脉瘤在显微镜下经两种不同手术入路夹闭治疗的临床资料。结果10例患者术后存活9例，1例患者术前患合并多种并发疾病，全身状况差，术后1个月因多器官功能衰竭死亡。结论根据基底动脉分叉部动脉瘤的形态、位置采用不同的手术入路进行规范夹闭术操作，能提高手术成功率，改善患者预后。
목적：분석량충불동적수술입로행협폐기저동맥분차부동맥류，탐토해수술입로방식、규범화개진수술조작등조시，제고수술성공솔화개선환자예후。방법회고성분석10례기저동맥분차부동맥류재현미경하경량충불동수술입로협폐치료적림상자료。결과10례환자술후존활9례，1례환자술전환합병다충병발질병，전신상황차，술후1개월인다기관공능쇠갈사망。결론근거기저동맥분차부동맥류적형태、위치채용불동적수술입로진행규범협폐술조작，능제고수술성공솔，개선환자예후。
Objective To study two different approaches for clip basilar artery bifurcation aneurysm,explore the surgical approach, improve the methods of operation,improve patient outcome. Methods Totally 10 cases of basilar artery bifurcation aneurysm through two dif-ferent approaches under a microscope clip treatment,and 10 cases of patients were retrospectively analyzed. Results 9 cases postoperative sur-vival,1 case died. The cause of death:the patient suffered from various diseases,poor physical condition,postoperative 1 month or so organ failure. Conclusion According to the basal artery bifurcation aneurysm shape,location,using different approaches to clip treatment can im-prove the success rate of surgery,and improve patient outcomes.