【摘要】 目的:探讨显微外科治疗颅内动脉瘤的方法和效果.方法:采用显微外科经翼点入路颅内动脉瘤夹闭术,手术患者7例,夹闭动脉瘤10例.结果:手术成功率100%,出院时或术后1~3月复诊评定疗效.5例痊愈(工作和生活能力正常),1例部分偏瘫和语言稍有笨拙,1例死亡为术前和术后严重脑血管痉挛致脑缺血死亡.结论:显微外科经翼点入路颅内动脉瘤夹闭术是治疗颅内动脉瘤一种安全、微创、有效的治疗方法.同时,夹闭动脉瘤颈是最理想的方法,应属首选.因它既不阻断载瘤动脉,又完全彻底消除了动脉瘤.更多还原

【Abstract】 Objective:To study the method and its effect treating intracranial aneurysm(ICA).Methods:The approach via pterion was adopted to treat ICA with clipping of aneurysm.7 cases of ICA were treated and 10 cases of aneurysm were clipped.Results:The success rate for this method is 100%.The curative effect of this method was evaluated at the moment of discharge or in 1～3 months after operation.5 patients recovered completely,1 patient with slight hemiparalysis and language disorder,and 1 patient dead because of severe cerebral angio spasm.Conclusion:This method is safe,minimally invasive and effective for treating ICA,So it should be regarded as a preferred method for treating ICA.because it cures aneurysm by clipping the chretien of aneurysm,not by blocking the arteriosus truncus.更多还原