摘要
目的探讨颅内动脉瘤破裂合并侧裂区血肿早期手术的疗效和经验。方法回顾性分析近5年9例颅内动脉瘤破裂合并侧裂区血肿患者,早期手术行动脉瘤夹闭及血肿清除术的治疗效果。7例患者术前经常规血管造影或(和)三维CT血管造影(three-dimensional CT angiography,3D-CTA)检查证实,2例患者行CT检查直接手术。结果9例患者共10枚动脉瘤均成功夹闭,3个月后随访时GOS评分恢复良好者4例,中度病残2例,重度病残2例,植物生存1例。结论颅内动脉瘤破裂合并侧裂区血肿患者病情危重,早期手术能有效改善预后。
Objective To summarize the experience and effectiveness of early surgical treatment of ruptured intranial aneurysms associated with transsylvian fissure intracerebral haematoma.Methods Nine patients with ruptured intranial aneurysms associated with transsylvian fissure intracerebral haematoma,who underwent haematoma evacuation and aneurysmal clipping,were retrospectively reviewed.Preoperative conventional angiography or/and three-dimensional CT angiography（3D-CTA） was performed in seven patients.Another two patients underwent urgent surgery after CT scanning.Results Ten aneurysms in nine patients were clipped.GOS at three months was good recovery in four cases,moderate disability in two,severe disability in two,and persistant vegetative state in one.Conclusion Acceptable outcome may be achieved in the patients with ruptured intranial aneurysms associated with transsylvian fissure intracerebral haematoma after early surgery.
出处
《中华全科医学》
2010年第4期450-451,共2页
Chinese Journal of General Practice
关键词
颅内动脉瘤
颅内出血
侧裂血肿
早期手术
Intracranial aneurysm
Intracerebral hemorrhage
Intrasylvian hematomas
Early operation
作者简介
通讯作者：练晓文，电子信箱：lxw870074@163．com
