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目的探讨颅内前循环动脉瘤的外科治疗方法及疗效。方法回顾性分析48例行翼点入路显微外科治疗前交通动脉瘤患者的临床资料。结果 48例前交通动脉瘤患者经翼点入路均成功夹闭,恢复良好83.3%,中度残疾10.4%,重度残疾6.2%,无死亡病例;随访GOS评分5分38例,4分3例,3分2例。结论经翼点入路显微外科手术治疗前交通动脉瘤,术中暴露清楚,夹闭瘤颈可靠,是一种有效的治疗方法。
Objective To investigate the surgical treatment of anterior intracranial aneurysms and its curative effect. Methods We retrospectively analyzed the clinical data of 48 cases of anterior communicating artery aneurysm treated by microsurgery with pterional approach. Results 48 cases of anterior communicating artery aneurysms were successfully occluded by pterional approach, with a good recovery of 83.3%, moderate disability 10.4%, severe disability 6.2%, no deaths; follow-up GOS score 5 points 38 cases, 4 points and 3 cases , 3 points in 2 cases. Conclusion Microsurgery via pterional approach for the treatment of anterior communicating aneurysms is an effective method of treatment because of clear intraoperative exposure and reliable neck clipping.