【摘要】 目的探讨颅内多发性动脉瘤的临床特点和诊治原则。方法回顾性分析手术治疗的20例多发性动脉瘤,共44个动脉瘤中颈内-后交通动脉瘤24个,颈内动脉床突上段动脉瘤8个,前交通动脉瘤6个,基底动脉瘤3个,其他部位3个。一期手术处理2个动脉瘤13例(其中微创手术7例,栓塞手术6例),二期手术者7例。结果优良13例,轻残4例,重残2例,死亡1例。术后随访DSA显示动脉瘤消失。结论微创手术治疗颅内多发性动脉瘤是安全和可行的。手术夹闭与栓塞治疗相辅相成。尽可能一期处理所有动脉瘤,预后良好。更多还原

【Abstract】 Objective To explore the clinical characteristics and the diagnosis and treatment of the patients with multiple intracranial aneurysms.Methods The clinical and imaging data of 20 patients were analyzed retrospectively.Of 44 intracranial aneurysms in the 20 patients,24 aneurysms were located in the posterior communicating artery,8 were in the supraclinoid segment of the intracranial arteries,6 were in the anterior communicating artery and 3 were in basilar artery.One-stage operations were performed in 13 patients(7 patients were clipped and 6 were embolized).Two-stage operations were carried out in 7 cases.Results Recoveries was excellent or good in 13 patients.Mild disabilities were in 4 cases,and severe disabilities were in 2 patients.One patient died.DSA during follow-up showed the aneurysms disappeared.Conclusion Minimally invasive operation for multiple intracranial aneurysms is safe and reliable.Clipping and embolotherapy supplement each other.Outcome is good in one-stage operations and the strategy should be applied whenever possible.更多还原