论文部分内容阅读
尽管目前处于显微神经外科时代,椎-基底动脉系统动脉瘤治疗仍很棘手。作者报告一组14年间收治的1150名脑动脉瘤中,93例为椎-基底动脉系统动脉瘤(VBAA)。93例中施行手术63例,保守治疗30例。手术均采用显微外科夹闭动脉瘤,其中蛛网膜下腔出血(SAH)0～6天手术36例,7天后手术27例。结果 33例术前一般状况较好(0～Ⅱ级),无手术死亡;Ⅲ级患者早期手术效果(73%恢复良好)优于一周后手术(50%死亡),Ⅳ～Ⅴ级患者手术效果差,7例患者仅1例恢复良好。由于严重 SAH 和脑水肿致手术空间狭小,早
Although it is currently in the era of microneurosurgery, treatment of aneurysms of the vertebral-basal artery system remains tricky. The authors report a group of 1,150 cerebral aneurysms treated during a 14-year period. 93 cases were vertebral-basal artery system aneurysms (VBAA). Ninety-three patients underwent surgery in 63 cases and conservative treatment in 30 cases. Microsurgical aneurysms were used in the surgery. Among them, 36 cases were treated with subarachnoid hemorrhage (SAH) 0 to 6 days and 27 cases were performed after 7 days. RESULTS: The preoperative general condition of 33 cases was good (0~II grade), and no operative death occurred. The early stage effect of III grade patients (good recovery of 73%) was better than that of surgery (50% death) after one week, and the surgical effect of grade IV to V patients. Poor, only 7 cases recovered well in 7 patients. Due to the severe surgical space caused by severe SAH and brain edema, early