【摘要】 目的　探讨海绵窦内颈内动脉动脉瘤 (ICCAAns)的直接显微手术方法。方法　在研究海绵窦上壁及相关组织显微解剖的基础上对 1 5例ICCAAns施行经颈内动脉海绵窦间隙入路动脉瘤直接显微手术。结果　 1 5例病人术毕均即刻行颈动脉穿刺造影 ,证实动脉瘤消失 ,颈内动脉显影良好 ,随诊 1个月至 8年 ,患Ⅲ、Ⅳ、Ⅴa及Ⅵ颅神经麻痹的病人 ,除 2例病人术后 1个月和 8个月仍完全和不完全麻痹外 ,余 3例均恢复正常 ,1 5例病人均恢复了工作 ,无一例出现再出血或再次出现神经麻痹症状。结论　ICCAAns的直接显微手术不失为一种治疗ICCAAns最为理想的方法更多还原

【Abstract】 Objective To discuss the approach and technique of the direct microsurgery of intracavernous sinus carotid artery aneurysms(ICCAAns).Methods All the 15 cases of ICCAAns underwent the direct microsurgery via the carotid artery cavernous sinus space approach.Results Immediate carotid arteriography after the surgery showed that the aneurysms disappeared and the carotid artery could be showed clearly and normall. In a follow up period ranged 1 months to 9 years, it was showed that, among 5 cases with Ⅲ?Ⅳ?Ⅴa?Ⅵ nerve paralysis before the surgery, three completely recovered, one recovered incompletely. All patients regained the capability of undertaking normal activities. None experienced rebleeding or neuroparalysis.Conclusions Direct microsurgery via this approach is an ideal treatment of ICCAAns.更多还原