颅内多发动脉瘤的手术治疗
束旭俊;孙正辉;武琛;王芙昱;宋志军;余新光
【期刊名称】《中华外科杂志》 【年(卷),期】2015(053)002
【摘要】Objective To discuss the surgical strategies and analyze the clinical outcomes of multiple intracranial aneurysms (MIA).Methods The clinical data of 49 MIA patients surgically treated between January 2009 and December 2013 was analyzed retrospectively.Among the 49 patients,12 patients were male and 37 were female,mean age(49 ± 11)years.Thirty-five patients had ruptured aneurysms,and 14 had unruptured
aneurysms.Treatment
strategies
included
one-stage
operation (MIA were treated in one-stage with an unilateral approach),two-stage treatment (MIA were treated stage by stage) and partial treatment (only ruptured aneurysm was treated).Postoperative CT angiograms (CTA) or digital subtraction angiograms (DSA) were reviewed and the Glasgow Outcome Scale (GOS) scores were evaluated during follow-up period.Results Thirty-two patients (65.3％) underwent one-stage operation,9 patients (18.4％) underwent two-stage treatment,and 8 patients (16.3％) underwent partial treatment.Forty-seven patients were followed up 4-49 months,mean (22 ± 7) months.Postoperative
CTA
or
DSA
showed
no
aneurysm
recurrence.According to the GOS scores,41 patients (83.7％) with good
颅内多发动脉瘤的手术治疗
