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目的探讨经翼点入路显微手术治疗颅内前循环动脉瘤的时机,手术原则及手术技巧。方法回顾分析应用翼点入路对78例,82个颅内前循环动脉瘤进行的显微手术及其疗效。结果动脉瘤直接夹闭80个,孤立1个巨大眼动脉瘤,包裹1个复杂的前交通动脉瘤。78例患者治愈60例(77.0%),轻残10例(12.8%),重残5例(6.4%),死亡3例(3.8%)。结论颅内动脉瘤破裂导致蛛网膜下腔出血(SAH),一经确诊且病情允许应争取早期手术。经翼点入路采用显微外科技术是治疗颅内前循环动脉瘤安全、有效的方法。
Objective To explore the timing, surgical principles and surgical techniques of microsurgery for anterior circulation aneurysms via pterional approach. Methods The microsurgery and its curative effect of 78 cases and 82 anterior circulation aneurysms using pterional approach were retrospectively analyzed. Results Aneurysm directly occluded 80, isolated a huge ocular aneurysm, wrapped a complicated anterior communicating artery aneurysm. 78 patients were cured in 60 cases (77.0%), mild residual in 10 cases (12.8%), severe residual in 5 cases (6.4%) and dead in 3 cases (3.8%). Conclusion intracranial aneurysm rupture leading to subarachnoid hemorrhage (SAH), once diagnosed and the condition permits should strive for early surgery. The pterional approach using microsurgical techniques is a safe and effective method for the treatment of anterior circulation aneurysms.