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目的探讨经眉外侧锁孔入路夹闭前交通动脉瘤的临床疗效。方法选择我院2004年10月至2008年10月前交通动脉瘤患者22例。采用经眉外侧锁孔入路手术夹闭动脉瘤。结果22例均成功夹闭动脉瘤。其中1例术中动脉瘤破裂,临时阻断载瘤动脉5~15 m in,将动脉瘤分离后准确夹闭瘤颈。18例术后复查脑血管造影,证实动脉瘤消失。随访4~18个月,全部病例均恢复正常工作、生活,无手术死亡或其它与手术相关的严重并发症发生。结论经眉外侧锁孔入路夹闭前交通动脉瘤安全有效、手术创伤小且无严重并发症。
Objective To investigate the clinical effect of clipping the anterior communicating artery aneurysm by the lateral keyhole approach. Methods Twenty-two patients with arterial aneurysms were selected from our hospital from October 2004 to October 2008. Anesthesia by clipping the hole outside the eyebrow surgery. Results All the 22 cases successfully occluded aneurysms. One case of intraoperative aneurysm rupture, temporary blocking of the parent artery 5 ~ 15 min, the aneurysm after the separation of accurate clamping tumor neck. Eighteen patients underwent recanalization of cerebrovascular angiography, confirming the disappearance of the aneurysm. All patients were followed up for normal work, life, no operative death or other serious complications related to surgery. Conclusion It is safe and effective to close the anterior communicating artery aneurysm through the keyhole approach outside the eyebrow and the surgical trauma is small and without serious complications.