前交通動脈瘤指向與顯微手術(shù)療效的相關(guān)分析.pdf

1、華中科技大學碩士學位論文前交通動脈瘤指向與顯微手術(shù)療效的相關(guān)分析姓名：韓慶東申請學位級別：碩士專業(yè)：外科學（神外）指導教師：陳勁草201105華中科技大學碩士學位論文華中科技大學碩士學位論文2TheanalysisofrelationsbetweenantericommunicatinganeurysmswithdifferentdirectionstheoutcomeofmicroscopicoperationABSTRACTObje

2、ctive:Tosummarythemicrosurgicaltreatmentofaneurysmsintermsofthedirectionoftheaneurysmcommoncomplicationsofpatientswithantericommunicatinganeurysmsexpletheoperationopptunitytreatmentofintraoperativeaneurysmrupture.Methods

3、:45antericommunicatinganeurysmscaseswithdifferentdirectionsundergoingmicroscopicneurosurgeryoperationduring2009to2011perfmedbyProJincaoCheninTongjiHospitalWuHanwerecollected.44caseswereprovedantericommunicatinganeurysmsb

4、yDSACTApreoperatively1casewasconfirmedthesameoneafteremergencyoperation.Accdingtothelateralimageofthecerebralangiographytheaneurysmsweredividedintoseveralcases:anteriosupericaseanterioinfericaseposteriosupericaseposterio

5、infericasecomplicatedcase.anteriosupericaseposteriosupericasewereregardedasthesupericasetheposterioinfericaseanterioinfericasewereregardedastheinfericase.alldirectionsofaneurysmswereverifiedduringoperations.thepatients，s

6、ignssymptomsweretakenintoconsiderationpostoperativelytoassesstheprognosis.Results:Therewere10，22，6，5，2casesintermsofHunt—HessgradesI，II，III，IVV45patientshadunderwentmicroscopicneurosurgeryoperation，42caseshadbeensurgical

7、lyclipping.OutcomesofallcaseswereevaluatedbyGOSwhenleavingthehospital.Therewere31，9，3，1，13casesintermsofGOSgrade5，4，3，21grade45provedperfectoutcomes.Thegoodoutcomeratewere100%，95.5%（2122），83.3%（56），60%（35），50%（12）interms