颅内巨大动脉瘤手术治疗.PDFVIP

路1214 路 鍗楁柟鍖荤澶у瀛︽姤锛圝 South Med Univ 锛 2012;32(8) 涓村簥鐮旂┒ 棰呭唴宸ㄥぇ鍔ㄨ剦鐦ょ殑鎵嬫湳娌荤枟 1 2 2 榛勭悊閲 锛屽啹鏂囧嘲 锛屾紗鏉炬稕 1 2 鍗楁柟鍖荤澶у 绗笁闄勫睘鍖婚櫌绁炵粡澶栫銆佷粙鍏ョ锛屽箍涓 骞垮窞锛?10630 锛涘崡鏂瑰尰闄㈢缁忓绉戯紝骞夸笢 骞垮窞 510515 鎽樿锛氱洰鐨勬帰璁ㄩ鍐呭法澶у姩鑴夌槫鐨勬墜鏈椂鏈恒€佹墜鏈柟娉曞強鐤楁晥銆傛柟娉 鍥為【鎬у垎鏋?001 骞?鏈垀2010 骞?鏈堝崡鏂瑰尰闄㈢缁忓绉 娌荤枟鐨?5渚嬮鍐呭法澶у姩鑴夌槫銆傚姩鑴夌槫澶瑰す闂?渚嬶紱鍔ㄨ剦鐦ゅ绔嬪苟棰呭唴-棰呭琛€绠℃灦妗ユ湳1渚嬶紱澶ч殣闈欒剦绉绘棰呭唴-棰呭琛€绠℃灦妗 骞惰浇鐦ゅ姩鑴夐棴濉?渚嬶紱鐦や綋鍒囬櫎锛岀槫澹佺紳鍚?渚嬶紱鍗曠函瀛ょ珛2 渚嬨€傜粨鏋 姝讳骸2 渚嬶紙13%锛夈€傚叾浣?3渚嬬粡鍗婂勾鐨勯殢璁匡紝濂?2渚嬶紙80%锛夛紝 宸?渚嬶紙7%锛夈€傜粨璁 宸ㄥぇ鍔ㄨ剦鐦ゆ墜鏈璁″簲涓綋鍖栵紝鏈€呭簲鏄叿澶囪绠￠噸寤鸿兘鍔涚殑鏈夌粡楠岀殑鏄惧井绁炵粡澶栫鍖诲笀銆 鍏抽敭璇嶏細宸ㄥぇ鍔ㄨ剦鐦わ紱鏄惧井鎵嬫湳锛涚枟鏁 涓浘鍒嗙被鍙凤細R651.1 鏂囩尞鏍囧織鐮侊細A 鏂囩珷缂栧彿锛?673-4254锛?012锛?8-1214-04 doi: 10.3969/j.issn. 1673-4254.2012.08.33 /kcms/detail/44.1627.R1023.009.html Microsurgical management of intracranial giant aneurysms 1 2 2 HUANG Lijin , FENG Wenfeng , QI Songtao 1Department of Neurosurgery and Interventional Radiology, Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China; 2Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China Abstract: Objective To study the surgical timing, strategy and outcome of intracranial giant aneurysms. Methods The clinical and surgical data of 15 cases of intracranial giant aneurysms treated between January, 2001 and January, 2010 were analyzed. Aneurysm clipping was performed in 8 cases, aneurysm trapping with extracranial-intracranial 锛圗C-IC 锛塨ypass in 1 case, parent artery occlusion with EC-IC bypass using great saphenous vein graft in 3 cases, aneurysm resection with aneurysm wall suture in 1 case, and exclusive aneurysm trapping in 2 cases. Results Deaths occurred in 2 (13%) of the cases. Good surgical outcomes were achieved in 12 case