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前交通动脉瘤为颅内常见动脉瘤之一,约占颅内动脉瘤的30％。该部动脉瘤与第三脑室前部、丘脑下部、视交叉、Heubner回返动脉相邻,破裂出血后危害较大。再出血及脑血管痉挛是病人死亡及致残的主要原因。早期手术治疗是解决再出血及脑血管痉挛的有效方法之一。自1994年至1999年1月,我科采取早期手术治疗破裂的前交通动脉瘤14例,取得较好治疗效果。现报告如下:
Anterior communicating artery aneurysm is one of common intracranial aneurysms, accounting for about 30% of intracranial aneurysms. The Department of aneurysms and the third ventricle in front of the lower part of the hypothalamus, optic chiasm, Heubner return artery adjacent to rupture of bleeding more harmful. Rebleeding and cerebral vasospasm are the major causes of death and disability in patients. Early surgical treatment is to solve the re-bleeding and cerebral vasospasm, one of the effective methods. From 1994 to January 1999, 14 cases of ruptured anterior communicating artery aneurysm were treated by early surgery in our department, which achieved good therapeutic effect. The report is as follows: