[1]薛洪利,孙荣君,闻 华,等.一期锁孔手术治疗大脑前循环多发动脉瘤[J].中国临床神经外科杂志,2018,(09):598-599.[doi:10.13798/j.issn.1009-153X.2018.09.007]
 XUE Hong-li,SUN Rong-jun,WEN Hua,et al.One-stage microsurgery via keyhole approach for multiple intracranial aneurysms of the cerebral anterior circulation[J].,2018,(09):598-599.[doi:10.13798/j.issn.1009-153X.2018.09.007]
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一期锁孔手术治疗大脑前循环多发动脉瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年09期
页码:
598-599
栏目:
论著
出版日期:
2018-09-25

文章信息/Info

Title:
One-stage microsurgery via keyhole approach for multiple intracranial aneurysms of the cerebral anterior circulation
文章编号:
1009-153X(2018)09-0598-02
作者:
薛洪利孙荣君闻 华崔宝川王金刚
110003 沈阳,沈阳中一东北国际医院神经外科(薛洪利、孙荣君、闻 华、崔宝川、王金刚)
Author(s):
XUE Hong-li SUN Rong-jun WEN Hua CUI Bao-chuan WANG Jin-gang.
Department of Neurosurgery, The Zhong-yi Northeast International Hospital, Shenyang 110003, China
关键词:
颅内多发动脉瘤前循环锁孔手术疗效
Keywords:
Multiple aneurysms Anterior circulation Keyhole approach Microsurgery
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2018.09.007
文献标志码:
A
摘要:
目的 总结锁孔技术在大脑前循环多发动脉瘤一期手术中的应用经验。方法 回顾性分析采用一期锁孔手术治疗的26例(56个动脉瘤)大脑前循环多发动脉瘤的临床资料。一侧多发动脉瘤19例,采用一侧额纹切口,经锁孔手术夹闭动脉瘤;两侧多发动脉瘤7例,采用双侧额纹切口,经锁孔手术夹闭动脉瘤。结果 26例无死亡,无残疾。56个动脉瘤,夹闭54个,筋膜包裹2个。26例术后随访6个月~10年,均健康生活和工作。结论 一期手术、一个切口、一次性锁孔手术治疗单侧或双侧颅内前循环多发动脉瘤是可行的,效果良好。
Abstract:
Objective To summarize the experience in treating the multiple intracranial aneurysms of the cerebral anterior circulation by the one-stage microsurgery via keyhole approach. Methods Twenty-six patients with 56 multiple intracranial anterior circulation aneurysms received one-stage surgery via keyhole approach. The one-stage surgery via the frontal incision keyhole approach were performed in 19 patients with unilateral multiple aneurysms and the surgery via bilateral frontal incision approach were performed in 7 patients with bilateral multiple aneurysms in order to clip the aneurysms. Results There was no death in all the patients. Of 56 aneurysms, 54 were surgically clipped and 2 were wrapped. The foolow-up ranging from 6 months to 10 years showed that all 26 patients healthyly lived and worked. Conclusion Compared with the traditional craniotomy, the one-stage surgery via keyhole approach for the multiple intracranial aneurysms of the anterior circulation has the advantages including short operative time, less operative side-injury and better effects.

参考文献/References:

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更新日期/Last Update: 2018-09-30