摘要
目的 :分析总结颅内多发动脉瘤的外科治疗情况。方法 :回顾性分析 12 3例颅内多发动脉瘤患者自然状况和外科治疗情况。结果 :其中 ,10 1例罹患 2个颅内动脉瘤 ,16例罹患 3个颅内动脉瘤 ,4例 4个颅内动脉瘤 ,2例 4个以上颅内动脉瘤。患者男女比例是 1∶1.7。年龄范围 11～ 74岁 ,平均年龄 5 0 .37岁。 30例 (2 4 .4 % )患者采取保守治疗 ,91例 (74 .0 % )行开颅手术治疗 ,90 .1%的患者预后良好 ,6例 (4 .9% )行介入治疗 ,1例轻偏瘫、1例偏瘫。其中 4例患者是既行介入又行开颅手术治疗。结论 :基于我们所作的研究 ,所有的颅内动脉瘤如果可能的话 ,应一期或分期手术治疗。随着神经导航及锁孔开颅技术在神经外科手术中的应用 ,手术创伤及危险性在减小 ,手术预后得以很大程度的改善。同时 ,介入技术也改善了颅内多发动脉瘤患者的预后。
Objective: To analyze the treatments of multiple intracranial aneurysms. Methods: Natural conditions of 123 patients and treatments of multiple intracranial aneurysms were analyzed retrospectively. Results: Of 123 patients with multiple intracranial aneurysms. 101 harbored two aneurysms; 16, three; 4, four; 2, more than four. The female-to-male ratio was nearly 1.7∶1(78 females to 45 males). The age range was from 11 to 74 with a mean of 50.37 years. Thirty(24.4%) patients received conservative treatment. 91(74.0%) neurosurgical treatment, 82 (90.1%) patients obtained excellent or good outcomes.Six(4.9%) endovascular embolization, one hemiparesis and one paralysis was observed. Conclusion: Based on our results, we recommend that, if possible, all multiple aneurysms should be treated in one stage or multiple sessions. With Navigation and Keyhole Techniques, the injury and risk of surgery have been decreased, and outcomes have improved. Perfection of the endovascular occlusion technique also improves the prognosis of this disease.
出处
《北京大学学报（医学版）》
CAS
CSCD
北大核心
2004年第3期272-275,共4页
Journal of Peking University:Health Sciences
