【摘要】　目的　 探討伴有動眼神經麻痹的后交通動脈瘤的顯微手術治療效果。　方法　 回顧性分析2008年1月—2010年12月采用顯微外科手術治療的伴隨動眼神經麻痹的后交通動脈瘤患者52例的臨床資料，觀察動眼神經麻痹的恢復情況，總結臨床經驗。術后隨訪時間3～36個月，平均16個月。　結果　 發病至手術時間 lt;14 d患者34例，22例（64.7%）完全恢復，12例（35.3%）部分恢復。 gt;14 d者18例，6例（32.3%）完全恢復，12例（67.7%）不完全恢復。不完全性麻痹15例，12例（80.0%）完全恢復，3例（20.0%）得到改善；而術前完全動眼神經麻痹的37例中，僅11例（29. 7% ）徹底恢復、26例（70. 3% ）部分恢復。　結論　 早期明確診斷及盡早手術治療，對于伴隨有動眼神經麻痹的后交通動脈瘤患者的神經功能恢復極為重要。
【Abstract】　Objective　 To explore the curative effect of microsurgical treatment for posterior communicating artery aneurysms associated with oculomotor palsy.　Methods　 The clinical data of 52 patients with posterior communicating artery aneurysms associated with oculomotor palsy treated microsurgically from January 2008 to December 2010 were retrospectively analyzed. Recovery of oculomotor palsy was observed, and clinical experiences were summarized.　Results　 The follow-up time ranged from 3 to 36 months with a mean period of 16 months. Among the 34 patients operated on within 14 days after the onset of oculomotor palsy, 22 (64.7%) showed complete recovery, and 12 (35.3%) partial recovery. In the 18 patients operated on more than 14 days after the onset of the disease, 6 (32.3%) showed complete recovery, and 12 (67.7%) partial recovery. Incomplete palsy occurred in 15 patients among whom 12 (80%) had complete recovery and 3 (20%) alleviation. Among the other 38 patients with complete oculomotor palsy, only 11 (29.7%) got complete recovery, and the remaining 26 (70.3%) partial recovery.　Conclusion　 Early and positive diagnosis and treatment of patients with posterior communicating artery aneurysms associated with oculomotor palsy is of great importance to the nerve function recovery.

引用本文： 胡永光. 伴有動眼神經麻痹的后交通動脈瘤的手術治療. 華西醫學, 2011, 26(6): 882-884. doi: 復制