【摘要】 目的观察经翼点入路显微外科手术治疗前交通动脉瘤的疗效。方法前交通动脉瘤患者62例,采用翼点入路显微手术夹闭前交通动脉瘤瘤颈。结果显微手术成功夹闭动脉瘤62例,术后GOS评定:恢复良好50例(80.6%),轻度残废8例(12.9%),重度残疾2例(3.2%),死亡2例(3.2%)。38例术中神经电生理监测患者术中SSEPs变化4例,MEPs变化5例,EEG变化2例,术中监测无变化或虽有变化但干预后恢复者术后神经功能良好。术后复查,36例恢复良好,偏瘫2例。术后4例出现神经功能障碍,CT示脑组织挫伤或脑梗死灶。结论翼点入路显微手术治疗前交通动脉瘤安全有效。更多还原

【Abstract】 Objective To observe the curative effect of the pterion approach for microsurgical treatment of anterior communicating aneurysms.Methods The clinical data of 62 cases of anterior communicating aneurysms were retrospectively studied.All the cases were treated by the microsurgical treatment through the pterion approach.Results All the anterior communicating aneurysms were shut completely.The postoperative GOS evaluation showed 50 cases(80.6%) of fine,8 cases(12.9%) of mild disabled,2 cases(3.2%) disability and 2 cases(3.2%) died.In the 38 patients with intraoperative neurophysiological monitoring,it showed SSEPs changes in 4 cases,MEPs changes in 5 cases,EEG changes in 2 cases.In the intraoperative monitoring cases,the patients got good results if their intraoperative neurophysiological monitoring showed no changes or got intervened according to the changes.Conclusion It is safe and effective of the pterion approach for microsurgical treatment of anterior communicating aneurysms.更多还原