[1]梁世鹏 李 凡 梁前磊 李朝晖 刘德华.眶上外侧入路手术治疗前循环破裂动脉瘤临床分析[J].中国临床神经外科杂志,2018,(04):235-236249.[doi:10.13798/j.issn.1009-153X.2018.04.004]
 LIANG Shi-peng,LI Fan,LIANG Qian-lei,et al.Microsurgery via lateral supraorbital approach for ruptured anterior circulation aneurysms (report of 70 cases)[J].,2018,(04):235-236249.[doi:10.13798/j.issn.1009-153X.2018.04.004]
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眶上外侧入路手术治疗前循环破裂动脉瘤临床分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年04期
页码:
235-236249
栏目:
论著
出版日期:
2018-04-25

文章信息/Info

Title:
Microsurgery via lateral supraorbital approach for ruptured anterior circulation aneurysms (report of 70 cases)
文章编号:
1009-153X(2018)04-0235-02
作者:
梁世鹏 李 凡 梁前磊 李朝晖 刘德华
作者单位:130031 长春,吉林大学中日联谊医院神经外二科(梁世鹏、李 凡、梁前磊、李朝晖、刘德华)
Author(s):
LIANG Shi-peng LI Fan LIANG Qian-lei LI Chao-hui LIU De-hua.
Department of Neurosurgery, China-Japan Union Hospital, Jilin University, Changchun 130031, China
关键词:
颅内动脉瘤前循环夹闭术眶上外侧入路疗效
Keywords:
Intracranial aneurysms Anterior circulation Microsurgery Lateral supraortibal approach
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2018.04.004
文献标志码:
A
摘要:
目的 探讨眶上外侧入路手术夹闭前循环破裂动脉瘤的效果。方法 回顾性分析2014年3月至2017年7月采用眶上外侧入路治疗的70例前循环破裂动脉瘤的临床资料。结果 手术时间(152.5±15.6)min,开颅时间20~30 min,切口长度(9.3±0.9)cm,住院时间(12.1±3.7)d。所有动脉瘤均一次手术完成夹闭,其中1例夹闭后予以肌肉包裹。术后随访3~6个月,按GOS评分评价,恢复良好66例,中残3例,重残1例。2例出现局灶性脑梗死,4例术后早期脑积水。出院前均复查3D-CTA或DSA,无瘤颈残余,术后半年再次复查无复发。结论 眶上外侧入路对于前循环动脉瘤兼顾手术暴露及微创的特点,效果良好。
Abstract:
Objective To summarize experience in treating the ruptured anterior circulation aneurysms by the microsurgery via lateral supraorbital (LSO) approach. Methods The clinical data of 70 patients with 74 ruptured anterior circulation aneurysms (Hunt-Hess grade Ⅰ to Ⅲ), who underwent microsurgery via from March, 2014 to July, 2017 were analyzed retrospectively. The therapeutic outcomes were assessed by GOS score 3~6 months after the surgery. Results A total of 73 aneurysms were successfully occluded and 1 aneurysm successfully wrapped in 70 patients. The mean operation duration was (152.5±15.6) min. The length of operative cut was (9.3±0.9) cm and average hospital stay was (12.1±3.7) days. CTA or DSA showed that all the aneurysms were totally occluded on discharge from hospital. No aneurysms recurred in all the patients during the following up from 3 to 6 months. Of 70 patients, 66 were recovered well, 3 moderately disabled and 1 severely disabled according to GOS score 3~6 months after the surgery. Conclusions The microsurgery via LSO approach is suitable for treatment of patients with ruptured anterior circulation aneurysms and is worth spreading at present stage because it may provide sufficient surgical exposure and was relatively minimally invasive.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:刘德华,E-mail:zrliudehua@163.com
更新日期/Last Update: 2018-04-25