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目的探讨显微手术治疗颅内动脉瘤的方法与疗效。方法本组颅内动脉瘤患者93例,个性化选择恰当的手术时机,分别采用动脉瘤所在侧的翼点入路(91例)或颞下入路(2例)行动脉瘤显微夹闭术。结果 93例动脉瘤均成功手术夹闭。术后随访3～6个月,根据GOS评分:5分(恢复良好)64例,4分(轻度残疾)22例,3分(重度残疾)5例,2分(植物生存)1例及1分(死亡)1例。结论选择适当的手术时机,应用显微手术夹闭瘤颈治疗颅内动脉瘤可以获得良好的临床疗效。
Objective To investigate the method and effect of microsurgical treatment of intracranial aneurysms. Methods Ninety-three patients with intracranial aneurysm were selected to choose the appropriate operation time individually. The aneurysms were treated with pterional approach (91 cases) or infratemporal approach (2 cases) Surgery. Results 93 cases of aneurysms were successfully surgically closed. The patients were followed up for 3 to 6 months. According to the GOS score, there were 64 cases with 5 points (good recovery), 22 with 4 points (mild disability), 5 with 3 points (severe disability), 1 with 2 points 1 point (death) in 1 case. Conclusion Select the appropriate timing of surgery, the application of microsurgical clamping aneurysm tumor neck treatment can be obtained good clinical efficacy.