论文部分内容阅读
自1978年我科在手术显微镜直视下共处理了颅内动脉瘤82例。年龄在50岁以上者占53.7％。82例中颈内动脉瘤60例,前交通动脉和大脑前动脉瘤16例,大脑中动脉瘤6例。术前状态Ⅰ级者23例,Ⅱ级者41例,Ⅲ级者8例,Ⅳ级者10例。本组Ⅰ～Ⅱ级的64例无死亡,颈内动脉瘤60例中仅1例死亡,较复杂的前交通动脉瘤14例亦无死亡。治疗的佳良率为89.0％。术后死亡4例,死亡率为4.9％。死亡例的年龄均在50岁以上,均有较重的动脉硬化,术前状态均较差,Ⅲ级者2例,Ⅳ级者2例。4例中有3例为大脑中动脉瘤。本组后期收治的46例,无1例死亡。文内对显微手术的技术操作和病例选择等进行了讨论。
Since 1978, our department treated 82 cases of intracranial aneurysms under the microscope. 53.7% of those over 50 years of age. 82 cases of internal carotid aneurysm in 60 cases, anterior communicating artery and anterior cerebral artery aneurysm in 16 cases, 6 cases of cerebral aneurysm. Preoperative grade Ⅰ 23 cases, Ⅱ grade 41 cases, Ⅲ grade in 8 cases, Ⅳ grade in 10 cases. There were 64 deaths in grade Ⅰ ~ Ⅱ and only 1 death in 60 patients with internal carotid aneurysm and 14 deaths in more complicated anterior communicating aneurysms. The rate of good and good treatment was 89.0%. Postoperative death in 4 cases, the mortality rate was 4.9%. The cases of death were all above 50 years of age with severe arteriosclerosis, with poor preoperative status. There were 2 cases of grade Ⅲ and 2 cases of grade Ⅳ. 3 of 4 cases were middle cerebral aneurysms. The group admitted to the late 46 cases, no one died. Text on microsurgery technical operation and case selection were discussed.