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颅内前循环动脉瘤的外科治疗
引用本文:丁建军,曾伟英,马廉亭,张志刚,李晓群,蔡仲华.颅内前循环动脉瘤的外科治疗[J].西安交通大学学报(医学版),1999(4).
作者姓名:丁建军  曾伟英  马廉亭  张志刚  李晓群  蔡仲华
作者单位:广东省中山市人民医院神经外科!中山528403(丁建军,曾伟英,张志刚,李晓群,蔡仲华),广州军区武汉陆军总医院神经外科!武汉430062(马廉亭)
摘    要:自 1990年 2月至 1998年 8月 ,共收治颅内前循环动脉瘤 32例 ,15例行血管内栓塞术(其中 1例栓塞失败改作手术治疗 ) ;17例显微镜下直视手术 ,术后死亡 1例。随访 2 8例 ,2 2例恢复良好 ,1例植物生存 ,2例偏瘫 ,2例动眼神经麻痹 ,1例癫痫。对前循环动脉瘤的诊断、治疗方法的选择及手术要点作了讨论。

关 键 词:显微手术  血管内栓塞术  颈内动脉  动脉瘤

SURGLCAL TREATMENT OF INTRACRANICAL ANEURYSMS OF THE ANTERIOR CIRCULATION
Ding Jianjun,Zeng Weiying,Ma Lianting et al.SURGLCAL TREATMENT OF INTRACRANICAL ANEURYSMS OF THE ANTERIOR CIRCULATION[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1999(4).
Authors:Ding Jianjun  Zeng Weiying  Ma Lianting
Abstract:From Feb. 1990 to Aug. 1998,32 cases with intracranial aneurysms of anterior circulation, 15 cases were treated with endovasular embolization (one of them treated by surgery after embolization failed);17 cases were treated with microsurgical operation.One of them died post operation.28 cases were followed up.Results revealed that 22 cases had excellent results,1 case had lived vegetatic life.2 cases presented hemiparesis,2 cases presented oculomotorius neurapraxia (OMNP), and 1 case presented epiliptic seizure.In this paper, the diagnosis, selectivities of treatment methods and the key points to the operation aneurysms of the anterior circulation were discussed.
Keywords:microsurgical operation  endovascular embolization  internal carotid  artery aneurysm
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