微创手术治疗后交通动脉瘤28例分析.pdfVIP

中国医药导报 2015年 1月第 12卷第 1期 窑临床研究 窑 微创手术治疗后交通动脉瘤28例分析 苟志勇 贺 民 四川大学华西医院神经外科袁四川成都 610041 [摘要] 目的探讨显微镜下微创手术治疗后交通动脉瘤的手术时机尧方法以及效果遥 方法 回顾性分析2009年1月~ 2010年1月于四川大学华西医院行显微镜下翼点入路后交通动脉瘤瘤颈夹闭术28例患者袁术中荧光造影遥术后 6个月和 1年分别进行随访袁观察分析患者的格拉斯哥预后分级渊GOS冤遥 结果 随访6~12个月袁观察其GOS评 分曰28例患者中袁死亡渊GOS分级 玉级冤1例渊3.57%冤尧植物生存渊GOS分级域级冤1例渊3.57%冤尧重度残疾渊GOS分级 芋级冤2例渊7.14%冤尧中度残疾渊GOS分级郁级冤5例渊17.86%冤尧恢复良好渊GOS分级吁级冤19例渊67.86%冤遥 结论 对 于后交通动脉瘤Hunt-Hess分级 玉~芋级的患者应尽早手术袁郁~吁级患者病情稳定后再手术曰显微镜下翼点入 路后交通动脉瘤瘤颈夹闭术袁术中荧光造影袁夹闭瘤颈可靠袁是一种有效的方法遥 [关键词]微创曰后交通动脉瘤曰瘤颈夹闭术曰荧光造影曰格拉斯哥预后分级 [中图分类号] R651.12 [文献标识码]A [文章编号] 1673-7210渊2015冤01渊a冤-0067-04 Analysis of 28 cases of patients with posterior communicating artery a鄄 neurysmstreatedbyminimallyinvasive surgery GOUZhiyong HE Min Departmentof Neurosurgery,West China Hospitalof SichuanUniversity, SichuanProvince, Chengdu 610041, China [Abstract]Objective To explore the operative time, methods and effect of minimally invasive surgery in the treatment of posterior communicating artery aneurysms. Methods 28 cases of patients with posterior communicating artery a鄄 neurysms treated by microsurgical clipping surgery from January 2009 to January 2010 in West China Hospital of Sichuan University were analyzed retrospectively, fluorescence imaging was taken during the operation, all patients were followed-up 6 months and 1year after operation, the GOS scores of patientswere observed and analyzed. Results Followed-upfor halfyear to oneyear, the GOSwas observed,which showedthat: among 28 cases ofpatients, there was 1case (3.57%)of death (GOSgrade 玉), 1case (3.57%)ofplant survival (GOSgrade 域), 2 cases (7.14%)of severe dis鄄 abilities (GOS grade 芋), 5 cases (17.86%) of incomplete (GOS grade 郁),19 cases (67.86%) of good (GOS grade 吁). Conclusion The o