[1]邓民强　潘　轲　田仁富　王国堰　向春晖.眶上外侧入路与翼点入路手术治疗急性期颅内前循环破裂动脉瘤的临床对比分析[J].中国临床神经外科杂志,2016,(10):606-607.[doi:10.13798/j.issn.1009-153X.2016.10.012]
　DENG Min-qiang,PAN Ke,TIAN Ren-fu,et al.Microsurgery for ruptured intracranial anterior circulation aneurysms at acute stage: supraorbital lateral approach vs. pterional approach[J].,2016,(10):606-607.[doi:10.13798/j.issn.1009-153X.2016.10.012]
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眶上外侧入路与翼点入路手术治疗急性期颅内前循环破裂动脉瘤的临床对比分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年10期
页码:
606-607
栏目:
论著
出版日期:
2016-10-24

文章信息/Info

Title:
Microsurgery for ruptured intracranial anterior circulation aneurysms at acute stage: supraorbital lateral approach vs. pterional approach
文章编号:
1009-153X（2016）10-0606-02
作者:
邓民强　潘　轲　田仁富　王国堰　向春晖
445000 湖北，恩施土家族苗族自治州中心医院神经外科
Author(s):
DENG Min-qiang;  PAN Ke;  TIAN Ren-fu;  WANG Guo-yan;  XIANG Chun-hui.
Department of Neurosurgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, China
关键词:
颅内破裂动脉瘤; 前循环; 急性期; 显微手术; 眶上外侧入路; 经典翼点入路; 疗效
Keywords:
Ruptured intracranial anterior circulation aneurysms;  Microsurgery;  Supraorbital lateral approach;  Pterional approach;  Acute stage;  Clinical effect
分类号:
R 743.9; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.10.012
文献标志码:
A
摘要:
目的 探讨眶上外侧入路与经典翼点入路手术治疗急性期颅内前循环破裂动脉瘤的临床效果。方法 2012年11月至2014年5月收治74例急性期前循环破裂动脉瘤，采用眶上外侧入路手术37例（眶上外侧组），采用经典翼点入路37例（翼点组）。结果 眶上外侧组手术时间[（138.9±15.9）min]、切口长度[（9.4±1.6）cm]、术中出血量[（52.6±5.9）ml]较翼点组均明显减少[分别为（174.8±22.6）min、（15.7±2.6）cm、（236.8±25.8）ml；P<0.05]。眶上外侧组术中动脉瘤破裂率（16.2%，6/37）和翼点组（18.9%，7/37）无明显差异（P>0.05）。结论 相比经典翼点入路，眶上外侧入路手术治疗急性期前循环破裂动脉瘤手术创伤较小。
Abstract:
Objective To compare the clinical effect of microsurgery via supraorbital lateral approach (SOLA) on ruptured intra- cranial anterior circulation aneurysms (RIACA) with that of microsurgery via pterional approach (PA). Methods Seventy four patients with RIACA at acute stage treated from November, 2012 to May, 2014 were randomly divided into two groups, i.e. observed group, in which 37 underwent microsurgery via SOLA and control group, in which 37 via PA. The clinical effects on RIACA were compared between both the groups. Results The operating duration, length of operative cut and volume of intraoperative bleeding were significantly less in the observed group than those in the control group (P<0.05). The percentages of the patients undergoing removal of bone flaps and receiving intraopertive transfusion of blood were significantly lower in the observed group than those in the control group (P<0.05). Conclusion The clinical effect of microsurgery via SOLA at acute stage, which can decrease the operation side injury, on RIACA is good.

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更新日期/Last Update: 2016-10-25