【摘要】 目的探讨破裂前交通动脉瘤的早期显微手术疗效。方法运用翼点手术入路早期治疗破裂前交通动脉瘤98例。结果瘤颈夹闭92例,动脉瘤孤立6例,同时行去骨瓣减压术12例,术后患者预后按格拉斯哥评分(GOS)预后评分标准,良好91例,中残2例,重残2例,死亡3例。结论破裂前交通动脉瘤应及早选择显微手术治疗。更多还原

【Abstract】 Objective To investigate the outcomes in patients with ruptured anterior communicating artery aneurysms by early microsurgery.Methods Pterional craniotomy techniques were typically used for 98 patients with ruptured anterior communicating artery aneurysms.Results The aneurysms of 92 patients were managed with microsurgical neck clipping,another 6 patients were treated by aneurysms trapping,and 12 patients were received decompressive craniectomy.According to glasgow outcome scale(GOS),good recovery was achieved in 91 cases,moderately disabled in 2 cases,severely disabled in 2 cases,and 3 patients died.Conclusion The patients with ruptured anterior communicating artery aneurysms should choose microsurgery as early as possible.更多还原