Clinical Study of Microsurgical Treatment on Patients with Anterior Communicating Artery_West China Medical Journal

Authors：

HUANG Zhigang , ZHANG Rulin , WEI Jianbo , ZHANG Ming

The Center Hospital of Panzhihua, Panzhihua, Sichuan 617000, P.R.China;

Corresponding?author：

Keywords：

前交通動脈; 顯微外科手術; 臨床分析

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【摘要】目的 探討經翼點入路顯微外科手術治療前交通動脈瘤的方法。方法回顧性分析2006年1月-2007年1月間38例前交通動脈瘤患者的臨床表現，影像資料、手術治療及預后情況。所有患者均施行經翼點入路手術，夾閉38例。結果治愈37例，死亡1例。37例隨訪12個月均無前交通動脈瘤再出血發生。結論經翼點入路手術治療前交通動脈瘤可收到滿意的手術治療效果。
【Abstract】 Objective To investigate the methods of microsurgical treatment with transpterional approach on anterior communicating artery. Methods The clinical manifestation,imaging data,treatment and prognosis of 38 patients with anterior communicating artery from January 2006 to January 2007 were retrospectively analyzed. All the patients had undergone microsurgical treatment with transpterional approach and closure. Results Thirty-seven patients were cured, one patient was dead. There was no one of anterior communicating artery rebleeding in 12 months follow-up. Conclusion Microsurgical treatment with transpterional approach on anterior communicating artery patients can get satisfactory surgical outcomes.

Citation： HUANG Zhigang,ZHANG Rulin,WEI Jianbo,ZHANG Ming. Clinical Study of Microsurgical Treatment on Patients with Anterior Communicating Artery. West China Medical Journal, 2010, 25(8): 1442-1444. doi: Copy

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1. 秦尚振, 馬廉亭, 余澤, 等. 顱內動脈瘤的診斷和治療方法討論[J]. 中華外科雜志, 2001, 39(2): 123-125.
2. Yasagil MG. Microneurosurgery[M]. 2nd eds. New York: Georg Thei me Verig Stutgart, 1984: 71-108.
3. 古選民, 趙勇剛, 范波, 等. 經翼點入路夾閉前交通動脈瘤(附45例分析)[J]. 中國微侵襲神經外科雜志, 2007, 12(1): 40-41.
4. Lougheed W. Timing and technique of aneurysm surgery of the anterior circle of willis[J]. Clin Neurosurg, 1969, 16: 95-113.
5. Ito Z. The microsurgical anterior interhemispheric approach suitably applied in ruptured aneurysms of the anterior communicating artery in the acute stage[J]. Acta Neurochirurgica, 1982, 64(1-4): 85-99.
6. Jstriger MD, Robert Elsaesser MD, et al. Transorbital keyhole approach to anterior communicating artery aneurysms[J]. Neurosurgery, 2001, 48(2): 347-352.
7. 姜金利, 許百男, 余新光, 等. 前交通動脈瘤的顯微外科手術治療[J]. 中國臨床神經外科雜志, 2007, 12(12): 705-707.

West China Medical Journal

Clinical Study of Microsurgical Treatment on Patients with Anterior Communicating Artery

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