[1]黄壮,邵灵敏,连海伟,等.经Dolenc入路手术治疗基底动脉顶端动脉瘤[J].中国临床神经外科杂志,2023,28(06):358-360364.[doi:10.13798/j.issn.1009-153X.2023.06.002]
　HUANG Zhuang,SHAO Ling-min,LIAN Hai-wei,et al.Clinical efficacy and safety of surgical clipping through Dolenc approach for patients with basilar artery apical aneurysms[J].,2023,28(06):358-360364.[doi:10.13798/j.issn.1009-153X.2023.06.002]
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经Dolenc入路手术治疗基底动脉顶端动脉瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年06期
页码:
358-360364
栏目:
论著
出版日期:
2023-06-30

文章信息/Info

Title:
Clinical efficacy and safety of surgical clipping through Dolenc approach for patients with basilar artery apical aneurysms
文章编号:
1009-153X（2023）06-0358-03
作者:
黄壮; 邵灵敏; 连海伟; 刘仁忠
430060武汉，武汉大学人民医院神经外科（黄壮、邵灵敏、连海伟、刘仁忠）
Author(s):
HUANG Zhuang;  SHAO Ling-min;  LIAN Hai-wei;  LIU Ren-zhong
Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
关键词:
颅内动脉瘤; 基底动脉; 显微手术; Dolenc入路; 疗效
Keywords:
Intracranial aneurysm;  Basilar artery;  Microsurgery;  Dolenc approach;  Outcomes
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2023.06.002
文献标志码:
R 749.3; R 651.1+2
摘要:
目的 探讨经Dolenc入路手术夹闭基底动脉顶端动脉瘤的手术方法及治疗效果。方法 回顾性分析2014年6月至2022年6月经Dolenc入路手术治疗的26例基底动脉顶端动脉瘤的临床资料。结果 术后2周CTA检查显示26例基底动脉顶端动脉瘤均完全夹闭。术后出现动眼神经麻痹5例、脑积水1例（脑室-腹腔分流术）、偏瘫1例，无脑脊液漏，无手术死亡病例。26例术后随访6~48个月；动眼神经麻痹5例中，术后3个月内完全恢复4例，部分恢复1例；1例脑积水行脑室-腹腔分流术后恢复良好，1例偏瘫恢复生活自理。术后6个月改良Rankin量表评分0分16例，1分3例，2分4例，3分3例；CTA复查未见基底动脉顶端动脉瘤复发，载瘤动脉通畅。结论 显微手术是治疗基底动脉顶端动脉瘤的重要方式，经Dolenc入路手术可获得良好的效果。
Abstract:
Objective To explore the methods and outcomes of surgical clipping through Dolenc approach for patients with basilar artery apical aneurysms. Methods The clinical data of 26 patients with basilar artery apical aneurysms who underwent clipping through Dolenc approach from June 2014 to June 2022 were retrospectively analyzed. Results CTA reexamination two weeks after operation showed that all of the basilar artery apical aneurysms in 26 patients were clipped completely. Five patients developed oculomotor paralysis postoperatively, one patient underwent ventriculoperitoneal shunt because of hydrocephalus after clipping, and one patient suffered from hemiplegic. There were no cerebrospinal fluid leakage or death due to surgery. The follow-up of 26 patients ranged from 6 months to 48 months. Of 5 patients suffering from oculomotor paralysis, 4 patients fully recovered within three months after operation and one partially recovered. One patient undergoing ventriculoperitoneal shunt recovered well. One patient with hemiplegia recovered to take care of himself. Six-month after surgery, a mRS score of 0 was achieved in 16 patients, a mRS core of 1 in 3, a mRS score of 2 in 4 and a mRS score of 3 in 3. The CTA showed that there were no recurrence of basilar artery apical aneurysms and the parent arteries were patency in all patients. Conclusions Microsurgical treatment is an important method for the treatment of basilar artery apical aneurysms, and clipping through Dolenc approach can obtain good outcomes for patients with basilar artery apical aneurysms.

参考文献/References:

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备注/Memo

备注/Memo:
（2023-03-27收稿，2023-05-12修回）
通讯作者：刘仁忠，E-mail：lrz1961@163.com
更新日期/Last Update: 2022-06-30