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在112例颅内动脉中发现2枚以上动脉瘤的患者10例(8.9%),共计动脉瘤23枚。动脉瘤定位:后交通动脉瘤12枚、C1段4枚、前脉络膜动脉瘤2枚、大脑中动脉瘤2枚、前交通动脉瘤1枚、A2段动脉瘤1枚、眼动脉瘤1枚。全部动脉瘤行开颅瘤颈夹闭,其中8例行一期手术,2例分次手术。1例术后死亡,9例恢复正常生活或工作。对多发性颅内动脉瘤的发病率、诊断、未破裂动脉瘤的处理、手术切口以及一期手术问题进行了讨论。
Ten patients (8.9%) found more than 2 aneurysms in 112 intracranial arteries, and 23 aneurysms in total. Aneurysm localization: 12 posterior communicating aneurysms, 4 C1 segments, 2 anterior choroidal aneurysms, 2 middle cerebral artery aneurysms, 1 frontal artery aneurysm, 1 A2 aneurysm and 1 eye aneurysm. All aneurysms craniocervical nidus closed, of which 8 cases of a surgery, 2 cases of subtotal surgery. One patient died after surgery and nine returned to normal life or work. The incidence of multiple intracranial aneurysms, diagnosis, treatment of unruptured aneurysms, surgical incisions, and stage I surgeries were discussed.