[1]李　侠　秦　军　魏德胜等.经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤[J].中国临床神经外科杂志,2021,26(12):921-923.[doi:10.13798/j.issn.1009-153X.2021.12.008]
　LI Xia,QIN Jun,WEI De-sheng,et al.Microsuurgical clipping via Dolenc approach for patients with aneurysm of the ophthalmic segment of internal carotid artery[J].,2021,26(12):921-923.[doi:10.13798/j.issn.1009-153X.2021.12.008]
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经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年12期
页码:
921-923
栏目:
论著
出版日期:
2021-12-25

文章信息/Info

Title:
Microsuurgical clipping via Dolenc approach for patients with aneurysm of the ophthalmic segment of internal carotid artery
文章编号:
1009-153X（2021）12-0921-03
作者:
李　侠　秦　军　魏德胜等
442000 湖北，十堰市太和医院（湖北医药学院附属太和医院）神经外科（李　侠、秦　军、魏德胜、雷军荣、冯　驰、杨泽浩、付　锐）
Author(s):
LI Xia;  QIN Jun;  WEI De-sheng;  LEI Jun-rong;  FENG Chi;  YANG Ze-hao;  FU Rui.
Department of Neurosurgery, Taihe Hospital, Affiliated Hospital of Hubei University of Medicine, Shiyan 442000, China
关键词:
颅内动脉瘤; 颈内动脉眼段; 夹闭术; Dolenc入路; 疗效
Keywords:
Intracranial aneurysm;  Ophthalmic segment;  Internal carotid artery;  Dolenc approach;  Carotid-ophthalmic
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2021.12.008
文献标志码:
A
摘要:
目的 探讨经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤的手术疗效、操作要点、并发症的预防。方法 回顾性分析2015年7月至2019年1月经Dolenc入路夹闭术治疗的20例颈内动脉眼段动脉瘤的临床资料。结果 术后CTA或DSA复查颈眼动脉瘤均夹闭完全，无瘤颈残留，无明显载瘤动脉狭窄。出院时，GOS评分5分16例，4分4例。结论 经Dolenc入路夹闭术治疗颈内动脉眼段动脉瘤是安全可靠有效的方法。
Abstract:
Objective To explore the surgical efficacy, main points of operation, and prevention of complications of microsurgical clipping via Dolenc approach for the patients with aneurysm of the ophthalmic segment of internal carotid artery (named as carotid-ophthalmic aneurysm, COA). Methods A retrospective analysis was performed on the clinical data of 20 patients with COA who underwent microsurgical clipping via Dolenc approach from July 2015 to January 2019. Results Postoperative CTA or DSA reexamination showed that the aneurysms were completely clipped without residual neck and obvious stenosis of the parent artery. On discharge, the GOS score of 5 points was achieved in 16 patients and 4 points in 4. Conclusions The microsurgical clipping via Dolenc approach is a safe, reliable and effective method for the treatment of the patients with COA.

参考文献/References:

[1] 刘相名，喻乐保，黄　正，等. 经Dolenc入路治疗颅内复杂部位动脉瘤17例临床分析[J]. 中华解剖与临床杂志，2017，22（3）：208-212.
[2] 赵继宗，陆　峥. 颅内复杂型动脉瘤的手术治疗策略[J].中国微侵袭神经外科杂志，2001，16（3）：129-132.
[3] 曲元明，刘　威. 颈内动脉床突及床突旁动脉瘤的外科治疗[J]. 中华显微外科杂志，2003，41（7）：520-522.
[4] 邵灵敏，陈谦学，刘仁忠，等. 颈内动脉窝动脉瘤的显微手术治疗[J]. 武汉大学学报（医学版），2015，36（4）：611-615.
[5] Krammer MJ, Lumenta CB. The new aneurysm clip system for particularly complex aneurysm surgery: technical note[J]. Neurosurgery, 2010, 66(2): 336-338.
[6] 明智绪，冯　进，朱辰路，等. 颈内动脉眼动脉段动脉瘤的血管内治疗[J]. 中国临床神经外科杂志，2018，23（8）：543-546.
[7] 曹佳雨，丁圣豪，赵　兵，等. 颈内动脉眼动脉段动脉瘤手术治疗分析[J]. 中国临床神经外科杂志，2019，24（1）：19-21，28.

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备注/Memo

备注/Memo:
通讯作者：付　锐，E-mail：13596272@qq.com
更新日期/Last Update: 1900-01-01