【摘要】 目的探讨不同手术方式和治疗策略对颅内蛇形动脉瘤患者的短中期结局影响。方法回顾性分析2015年1月至2018年6月南方医科大学南方医院收治的6例颅内蛇形动脉瘤患者的临床资料,按照要求纳入不同治疗组,经过定期随访头颅CT、MRI和DSA等,观察蛇形动脉瘤的形态转归以及神经功能缺损改善,术后GOS和mRS评分变化,以判断患者的预后是否良好。结果该6例颅内蛇形动脉瘤均实现完全或近完全闭塞,GOS评分为4～5分,mRS评分为0～1分,患者无新发神经功能缺损。结论考虑解剖位置和相关因素的不同治疗策略,可以改善蛇形动脉瘤的临床转归及预后。更多还原

【Abstract】 Objective To investigate the effects of different surgical methods and treatment strategies on short-term outcomes in patients with intracranial serpentine aneurysms. Methods The clinical data of 6 patients with intracranial serpentine aneurysms in our hospital from January 2015 to June 2018 were retrospectively analyzed. The patients were included in different treatment groups according to the requirements. After regular follow-up, CT, MRI and DSA were performed. To observe the morphological outcome of the serpentine aneurysm and the improvement of neurological deficit, GOS and mRS scores to assess the prognosis of the patient. Results All 6 cases of intracranial serpentine aneurysms achieved complete or near complete occlusion. GOS score was 4-5 points and mRS score was 0-1 points.The patients had no new neurological defects. Conclusions Different treatment strategies considering anatomical location and related factors could improve the clinical outcome and prognosis of serpentine aneurysms.更多还原