【摘要】 目的 探討開顱手術夾閉顱內前循環動脈瘤破裂的方法和療效。 方法 回顧分析2005年1月-2008年1月28例前循環動脈瘤破裂的早期外科手術治療情況。分析其臨床表現、手術入路和預后，用格拉斯哥術后評分量表對術后患者神經功能評分。 結果 28例患者共30個動脈瘤，手術成功夾閉28個，包裹2個。術后3個月內，患者恢復良好15例（53.57%），中度病殘7例（25.00%），重度病殘5例（17.86%），死亡1例（3.57%）。 結論 早期開顱手術夾閉動脈瘤能減少再出血率和術前死亡率，術后預后較好，是治療前循環動脈瘤破裂較為理想的方法。
【Abstract】 Objective To investigate the clinical strategy and effect of early phase surgery for ruptured cerebral anterior circulating aneurysm. Methods A retrospective analysis was done for 28 patients with ruptured anterior circulating aneurysms who underwent early phase (within 3 days) surgical clipping from January 2005 to January 2008. Their manifestations, surgical approach, and outcomes were analyzed. Glasgow outcome scale (GOS) was used to evaluate patients’ neurological function after operation. Results Among 30 intracranial aneurysms in 28 patients, 28 aneurysms were clipped successfully, and the other 2 were wrapped. One patient (3.57%) died after surgery. The follow-up data showed an excellent outcome was achieved in 15 cases, mild disability in 7 cases, and severe disability in 5 cases. Conclusion Early phase surgical clipping for ruptured cerebral anterior circulating aneurysm can reduce the chance of reruputure of aneurysms and the mortality in preoperative phase with good outcomes. The early phase surgical clipping the aneurysms is considered the feasible opinion.
引用本文： 曾強軍,楊清,周明森,甘鄰元. 早期開顱手術夾閉顱內前循環動脈瘤. 華西醫學, 2010, 25(7): 1276-1278. doi: 復制