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目的评价锁孔入路和内镜辅助显微神经外科应用在前组循环动脉瘤夹闭手术中的作用。方法回顾性分析我科2001年1～12月期间采用内镜辅助锁孔入路夹闭手术治疗颅内动脉瘤12例,着重于动脉瘤的部位、大小、手术技巧、手术结果和并发症。结果尽管骨窗小,术中显露可提供足够的空间进行颅内操作,保护脑和其他重要结构。本组病人出院时恢复良好,没有与入路相关的术后并发症,术后脑血管造影复查显示动脉瘤均消失,载瘤动脉通畅。结论锁孔入路结合内镜辅助显微外科技术和脑脊液引流,是有经验的神经外科医生用于治疗前循环动脉瘤安全和有效的方法。
Objective To evaluate the effect of keyhole approach and endoscopic-assisted microsurgical neurosurgery in the anterior clamping aneurysm surgery. Methods Retrospectively analyzed 12 cases of intracranial aneurysms treated with endoscopic assisted keyhole approach in our department from January to December 2001, focusing on the location, size, surgical technique, operative outcome and complications of the aneurysm. The results Despite the small bone window, intraoperative exposure may provide sufficient space for intracranial operations, protecting the brain and other important structures. This group of patients recovered well after discharge, there is no postoperative complications associated with the approach. Postoperative cerebral angiography showed aneurysm disappeared and the parent artery was unobstructed. Conclusion Keyhole approach combined with endoscopic assisted microsurgery and cerebrospinal fluid drainage is a safe and effective method for experienced neurosurgeons to treat anterior circulation aneurysms.