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目的研究改良冠状入路夹闭颅内多发动脉瘤的价值。方法对1例双侧大脑中动脉多发动脉瘤(左右侧各2个)采用改良的冠状入路:常规冠状入路皮肤切口,一侧骨瓣采用常规翼点入路骨瓣,另一侧采用翼点锁孔入路骨瓣。一次手术夹闭4个动脉瘤。结果成功夹闭3枚动脉瘤,电凝后包裹1枚微小动脉瘤,术后10 d复查DSA,4枚动脉瘤均未见显影。结论改良冠状入路可以一次手术安全夹闭双侧大脑中动脉区域多发动脉瘤,是颅内双侧多发动脉瘤治疗的有效方法之一。
Objective To study the value of modified coronary approach for intracranial multiple aneurysms. Methods One case of multiple middle cerebral artery with bilateral middle cerebral artery (2 left and right sides) was treated with modified coronal approach: conventional coronal approach skin incision. One side of the flap was treated by conventional pterional approach and the other side was treated with Wing point keyhole approach bone flap. A surgical clipping 4 aneurysms. Results Three aneurysms were successfully occluded, one small aneurysm was wrapped after electrocoagulation, DSA was performed on the 10th postoperative day, and none of the four aneurysms were developed. Conclusion The modified coronary approach can safely clip the multiple aneurysms in bilateral middle cerebral artery region by one operation, which is one of the effective methods for the treatment of bilateral multiple aneurysms in the brain.