经翼点锁孔手术治疗前循环动脉瘤

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (12): 1546-1548,1551.

经翼点锁孔手术治疗前循环动脉瘤

冯文峰, 漆松涛, 黄胜平, 黄理金

南方医科大学南方医院神经外科, 广东, 广州, 510515

出版日期:2005-12-20 发布日期:2005-12-20
基金资助:
收稿日期:2005-3-11。
作者简介:冯文峰(1967- ),男,湖南岳阳人,1990年毕业于第一军医大学,博士,主治医师,讲师,电话:020-61641810.

Surgical treatment of anterior circulation aneurysm via pterion keyhole approach

FENG Wen-feng, QI Song-tao, HUANG Sheng-ping, HUANG Li-jin

南方医科大学南方医院神经外科, 广东, 广州, 510515

Online:2005-12-20 Published:2005-12-20

摘要/Abstract

摘要： 目的探讨经翼点锁孔入路治疗前循环动脉瘤的可行性和手术方法。方法对18例前循环动脉瘤采用经翼点锁孔入路进行夹闭术,其中后交通动脉动脉瘤9例、大脑中动脉动脉瘤3例、前交通动脉动脉瘤6例。患者Hunt-Hess临床分级均在Ⅲ级以内。结果均获得成功夹闭,术后无面神经损伤表现,平均手术时间缩短1~2h。1例左后交通动脉瘤术中破裂,术后出现一过性感觉和运动性失语。结论经过慎重的选择病例以及术前周密的手术设计,经翼点锁孔入路治疗前循环动脉瘤是一种较理想的术式。

Abstract: Objective To investigate the feasibility of pterion keyhole approach with minimal invasion for treatment of the anterior circulation aneurysm. Method Aneurysm clipping through the pterion keyhole approach was performed in patients with anterior circulation aneurysms, including 9 with posterior communication artery aneurysms, 3 with middle cerebral artery aneurysms and 6 with anterior communication artery aneurysms, who were in stages Ⅰ to Ⅲ according to Hunt-Hess scale. Result All the aneurysms were clipped successfully. One patient with a left posterior communication artery aneurysm developed transient sensory aphasia and motor aphasia after surgery due to intraoperative aneurysm rupture. No facial paralysis occurred due to damage of the facial nerve. Conclusion The pterion keyhole approach is a very useful surgical approach for treatment of anterior circulation aneurysms on the basis of cautious determination of indications and careful operation planning.

中图分类号:

R732.21

冯文峰, 漆松涛, 黄胜平, 黄理金. 经翼点锁孔手术治疗前循环动脉瘤[J]. 南方医科大学学报, 2005, 25(12): 1546-1548,1551.

FENG Wen-feng, QI Song-tao, HUANG Sheng-ping, HUANG Li-jin. Surgical treatment of anterior circulation aneurysm via pterion keyhole approach[J]. Journal of Southern Medical University, 2005, 25(12): 1546-1548,1551.

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