颞下经小脑幕入路治疗基底动脉顶分叉部动脉瘤 附三例报告.pdfVIP

中国现代神经疾病杂志 年 月第 卷第 期 2 ·212 · 2012 4 12 2 Chin J Contemp Neurol Neurosurg, April 2012, Vol. 12, No. ·临床研究· 颞下经小脑幕入路治疗基底动脉顶分叉部 动脉瘤：附三例报告 金文哲 王焕宇 王宏 【摘要】 探讨基底动脉顶分叉部动脉瘤的手术适应证及手术操作技巧。回顾分析 例经颞下入路 3 手术治疗基底动脉顶分叉部动脉瘤患者临床表现、影像学资料及手术过程。其中 例动脉瘤完全夹闭， 2 例因保护穿支动脉而残留部分瘤颈。术后随访 个月至 年，均恢复良好，改良 量表评分分别 1 6 2 Rankin 为 分、分、分；日常生活活动能力量表（ 指数）评分为 分、 分和 分。 2 0 1 Barthel 65 100 95 【关键词】 颅内动脉瘤； 基底动脉； 脑血管造影术； 显微外科手术 ： DOI 10.3969/j.issn.1672⁃6731.2012.02.024 Subtemporalapproachfortreatmentofbasilarbifurcationaneurysms(withreportof3cases) 1 2 2 JIN Wen⁃zhe , WANG Huan⁃yu , WANG Hong 1Grade2009,GraduateSchool,TianjinMedicalUniversity,Tianjin300070,China 2DepartmentofNeurosurgery,TianjinHuanhuHospital,Tianjin300060,China Correspondingauthor:WANGHong(Email:wold558@) 【 】 Abstract The study was to explore the operative experience in 3 patients with basilar bifurcation aneurysms treated with microsurgery via subtemporal approach. The clinical manifestations, angiograms, and surgical operation were retrospectively analyzed. The effect of clipping treatment was satisfactory in 2 patients. One case was treated with remnant neck of aneurysms in order to protect perforating branches of artery. The blood flow was unobstructed in parent artery and distal artery. Patients w