CAJ | 학술논문

探讨前交通动脉瘤显微手术入路选择及疗效。通过3种不同手术入路显微手术夹闭前交通动脉瘤52例，其中经翼点入路29例，经纵裂间入路15例，经眶上锁孔入路8例。回顾性分析患者资料、手术入路及疗效。结果52例均成功夹闭。术后经CTA复查，50例夹闭完全可靠，2例有瘤颈残留，所有载瘤动脉均保持通畅。手术效果按GOS评分：恢复良好40例，中度残疾7例，重度残疾3例，死亡2例。可见显微手术是治疗前交通动脉瘤的有效方法，选择恰当的手术入路是手术成功的基础。
탐토전교통동맥류현미수술입로선택급료효。통과3충불동수술입로현미수술협폐전교통동맥류52례，기중경익점입로29례，경종렬간입로15례，경광상쇄공입로8례。회고성분석환자자료、수술입로급료효。결과52례균성공협폐。술후경CTA복사，50례협폐완전가고，2례유류경잔류，소유재류동맥균보지통창。수술효과안GOS평분：회복량호40례，중도잔질7례，중도잔질3례，사망2례。가견현미수술시치료전교통동맥류적유효방법，선택흡당적수술입로시수술성공적기출。
To explore the microsurgical approach and curative effect in patients with anterior communicating artery (ACoA) aneurysm .A total of 52 patients with ACoA aneurysm were treated by clipping ,including 29 through peritoneal approach , 15 through interhemispheric approach ,8 through keyhole approach ,the clinical data ,approach and curative effect were analyzed retrospectively .All aneurysms were clipped successfully .The CTA after operation showed that in 50 cases the aneurysms were clipped completely ,while 2 cases had residual neck ,all the feeding arteries kept potent .According to GOS ,40 cases had good recovery ,7 cases had moderate disability ,3 cases had severe disability and 2 cases died .Microsurgy is a effective method to cure ACoA aneurysm ,the proper choice of microsurgical approach id the base of successful microsurgy .