【摘要】 目的 探讨经翼点入路显微外科手术治疗前交通动脉瘤的方法。 方法 回顾性分析2006年1月-2007年1月间38例前交通动脉瘤患者的临床表现，影像资料、手术治疗及预后情况。所有患者均施行经翼点入路手术，夹闭38例。 结果 治愈37例，死亡1例。37例随访12个月均无前交通动脉瘤再出血发生。 结论 经翼点入路手术治疗前交通动脉瘤可收到满意的手术治疗效果。
【Abstract】 Objective To investigate the methods of microsurgical treatment with transpterional approach on anterior communicating artery. Methods The clinical manifestation,imaging data,treatment and prognosis of 38 patients with anterior communicating artery from January 2006 to January 2007 were retrospectively analyzed. All the patients had undergone microsurgical treatment with transpterional approach and closure. Results Thirty-seven patients were cured, one patient was dead. There was no one of anterior communicating artery rebleeding in 12 months follow-up. Conclusion Microsurgical treatment with transpterional approach on anterior communicating artery patients can get satisfactory surgical outcomes.
Citation：
HUANG Zhigang,ZHANG Rulin,WEI Jianbo,ZHANG Ming. Clinical Study of Microsurgical Treatment on Patients with Anterior Communicating Artery. West China Medical Journal, 2010, 25(8): 1442-1444. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 秦尚振, 马廉亭, 余泽, 等. 颅内动脉瘤的诊断和治疗方法讨论[J]. 中华外科杂志, 2001, 39(2): 123-125.
- 2. Yasagil MG. Microneurosurgery[M]. 2nd eds. New York: Georg Thei me Verig Stutgart, 1984: 71-108.
- 3. 古选民, 赵勇刚, 范波, 等. 经翼点入路夹闭前交通动脉瘤(附45例分析)[J]. 中国微侵袭神经外科杂志, 2007, 12(1): 40-41.
- 4. Lougheed W. Timing and technique of aneurysm surgery of the anterior circle of willis[J]. Clin Neurosurg, 1969, 16: 95-113.
- 5. Ito Z. The microsurgical anterior interhemispheric approach suitably applied in ruptured aneurysms of the anterior communicating artery in the acute stage[J]. Acta Neurochirurgica, 1982, 64(1-4): 85-99.
- 6. Jstriger MD, Robert Elsaesser MD, et al. Transorbital keyhole approach to anterior communicating artery aneurysms[J]. Neurosurgery, 2001, 48(2): 347-352.
- 7. 姜金利, 许百男, 余新光, 等. 前交通动脉瘤的显微外科手术治疗[J]. 中国临床神经外科杂志, 2007, 12(12): 705-707.
