摘要
目的探讨前交通动脉瘤并发颅内血肿的外科治疗方式及预后。方法回顾性分析外科治疗的33例前交通动脉瘤并发颅内血肿的临床资料，单纯动脉瘤夹闭7例，单纯血管内栓塞10例，夹闭或栓塞术后联合降低颅内压手术16例，电话或门诊随访，GOS评价患者预后。结果随访时间3—40个月，平均随访22．8个月，GOS5分13例，GOS4分11例，GOS3分1例，GOS2分3例，死亡5例。结论前交通动脉瘤并发颅内血肿患者病情复杂，血肿清除、去骨瓣减压术或脑室外引流等降低颅内压在外科治疗中起重要作用。
Objective To investigate the curative effect of different surgical treatments and outcome of patients with anterior communicating artery （ACOA） aneurysms associated with intracranial hematoma. Method 33 patients with ruptured ACOA anemysms associated with henatoma in our hospital were reviewed retrospectively. 7 patients underwent only microsurgical clipping, and 10 patients underwent only endovascular embolization, and 16 patients underwent combined treatment of ventricular draixmge or decompression. Outcome was evaluated by GOS score. Resolts In 3 to dO menths （mean 228 months） follow - up period , 13 cases had a good outcome of GOS S, 11 cases had GOS 4 outcome, 1 case had GOS 3 outcome, 3 cases had GOS 2 outcome and 5 cases had GOS 1 outcome. Conclusions The condition of patients with ruptured AcoA aneurysm associated with intracranial hematona is very severe. It is very irnportant to surgical treatment to decrease intracranial pressure, do ventricular drainage or decompression including aneurysm treatment.
出处
《中华神经外科杂志》
CSCD
北大核心
2013年第3期224-226,共3页
Chinese Journal of Neurosurgery
基金
卫生部科研基金（WKJ2010-2-016）
浙江省医药卫生科研基金（2008A117）
温州市科技计划项目（Y20090005）
关键词
前交通动脉瘤
血肿
预后
Anterior communicating artery aneurysms
Hematoma
Prognosis
