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Anterior Circulation Aneurysms Microsurgical Treatment

Posted on:2011-03-18Degree:MasterType:Thesis
Country:ChinaCandidate:F ZhouFull Text:PDF
GTID:2144360305478502Subject:Neurosurgery
Abstract/Summary:PDF Full Text Request
Objective:To investigate the anterior circulation aneurysm rupture after diagnostic methods and surgical timing and summing up anterior circulation aneurysm microsurgery techniques and clinical results, as well as post-operative complications in the prevention and treatment in order to improve on the anterior circulation aneurysm of the diagnosis and treatment.Methods:A retrospective review of our hospital between 2005-2007 treated 56 cases of 64 anterior circulation aneurysms in patients clinical data analysis, in the diagnosis, all patients were routinely admitted to the former head CT scan, all patients admitted to hospital after the figure by line angiography (DSA) examination. All patients were used pterional approach, the parent artery proximal temporary occlusion, aneurysm.Results:The patients were discharged when 46 cases of excellent (85%), five cases of residual light, two cases of severe disability, death in 4 cases. Which, Hunt-Hess grade 0-â…¢level in patients with no operative death, death in 4 cases,1 case for pre-operative Hunt-Hess gradeâ…£-class patients. For three cases of bleeding in patients with 2 times.Conclusions:Digital subtraction angiography (DSA) technology can clearly show the shape of aneurysm, size, aneurysm neck, as well as the relationship between the vicinity of blood vessels, is currently deciding whether to proceed with surgery Finally based on the most meaningful is the most reliable diagnostic methods. Early surgery can reduce the re-bleeding, cerebral vasospasm, and all kinds of complications. Used pterional approach can be clearly shown before the group ring Wills all aneurysms, pterional surgical clipping of anterior circulation aneurysms is an ideal and reliable method of treatment. Postoperative complications such as cerebral vasospasm prevention and treatment can effectively reduce the morbidity and mortality rate.
Keywords/Search Tags:aneurysm, microsurgery, DSA
PDF Full Text Request
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