【摘要】 目的　通过对 16 8例颅内动脉瘤的显微手术治疗 ,以探讨手术时机、手术技巧对术后疗效的影响。方法　对来我科首诊的经CT、DSA确诊为颅内动脉瘤的患者 ,力争在 72h内 (由外院转诊已错过急性期者均在两周后 )经翼点入路开颅行显微手术夹闭动脉瘤。结果　 16 8例中 ,治愈 139例(82 .7% )、好转 11例 (6 .5 % )、植物生存 3例 (1.8% )、死亡 15例 (8.9% )。结论　颅内动脉瘤破裂引起SAH ,经CT、DSA确诊后应争取早期手术。选择最佳手术时机、手术入路、熟练掌握显微操作技术及显微解剖知识是手术成功的关键更多还原

【Abstract】 Objective To investigate the influence of operating occasion and surgical skill on the post- operative outcomes of intracranial aneurysms by retrospectively analyzing 168 cases undertaken microsurgical treatment. Methods Patients with intracranial aneurysms identified by CT and DSA received microsurgical treatment by transpterional approach within 72 h after admission.Results Of 168 cases, 139 were cured ( 82.7%), 11 were good (6.5%), 3 were poor (1.8%), and 15 were dead (8.9%).Conclusion Ruptured intracranial aneurysms causing SAH should receive surgical treatment as soon as possible once confirmed by CT and DSA. The optimal chance and approach of operation, microsurgical technique, as well as microanatomical knowledge are keys for successful treatment.更多还原