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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 and summarize the surgical treatment of intracranial multiple aneurysms. Methods: A retrospective analysis of 123 cases of intracranial aneurysm in patients with natural conditions and surgical treatment. RESULTS: Among them, 101 had 2 intracranial aneurysms, 16 had 3 intracranial aneurysms, 4 had 4 intracranial aneurysms, and 2 had 4 or more intracranial aneurysms. The male / female ratio is 1: 1.7. The age range of 11 to 74 years old, with an average age of 50.77 years old. Thirty patients (24.4%) received conservative treatment and 91 patients (74.0%) underwent craniotomy. Among them, 90.1% had good prognosis, 6 (4. 9%) received interventional therapy and 1 Cases of mild hemiplegia, hemiplegia in 1 case. Four of these patients were involved in both craniotomy and craniotomy. CONCLUSIONS: Based on our research, all intracranial aneurysms should be treated by one-stage or staged surgery if possible. With the application of neural navigation and keyhole craniotomy in neurosurgery, the surgical trauma and risk are reduced, and the prognosis of the surgery can be greatly improved. Interventional techniques have also improved the prognosis of patients with intracranial multiple aneurysms.