【摘要】 目的探讨眶上外侧入路与翼点入路显微手术治疗急性期前循环破裂动脉瘤的疗效。方法 2014年3月至2015年9月采用显微手术治疗Hunt-Hess分级Ⅰ~Ⅲ级急性期前循环破裂动脉瘤81例,经眶上外侧入路夹闭43例(观察组),翼点入路夹闭38例(对照组)。结果观察组手术时间[(152.7±19.1)min]、手术切口长度[(9.1±0.9)cm]、住院时间[(12.3±3.6)d]较对照组[分别为(182.4±26.6)min、(15.1±1.1)cm、(15.3±2.8)d]均明显减少(P<0.01)。两组术后3个月GOS评分无统计学差异(P>0.05)。结论眶上外侧入路创伤小、手术时间短、术后恢复快,治疗Hunt-Hess分级低级别急性期前循环破裂动脉瘤手术效果良好。更多还原

【Abstract】 ObjectiveTo explore the clinical effect of the microsurgery through lateral supraorbital approach(LSOA) on acuteruptured anterior circulation aneurysms.MethodsThe clinical data of 81 patients with ruptured anterior circulation aneurysms(Hunt-Hess grade Ⅰ to Ⅲ), of whom, 43(observed group) underwent microsurgery through LSOA and 38(control group) throughpterional approach from March, 2014 to September, 2015, were analyzed retrospectively.ResultsThe operative time [(152.7±19.1) min],length of operative cut [(9.1±0.9) cm] and hospital stay [(12.3±3.6) d] were significantly shorter in the observed group than those [(182.4±26.6) min,(15.1±1.1) cm and(15.3±2.8) d, respectively] in the control group(P<0.01). There was insignificant difference in GOS scoresbetween both the groups(P>0.05).ConclusionThe microsurgery through LSO should be recommended in the patients with rupturedanterior circulation aneurysms because it has the advantages such as shorter operative time, less injury and rapid recovery.更多还原