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目的 探讨颅内动脉瘤诊断和治疗方法与治疗时机的选择,提高手术疗效。方法 对172例颅内动脉瘤行手术夹闭。其中18例行显微手术夹闭,21例在出血后三天内早期手术。结果 优126例,良32例,差6例,植物生存1例,死亡7例(5例死于1991年前)。显微手术无死亡。早期手术疗效满意。结论 CT、MRI、MRA为临床提供重要信息,TCD可作为无创性筛选,DSA为决定性检查。翼点入路显微手术操作和技术熟练配合良好的手术组是手术成功的保证,早期手术治疗和术后正确处理十分重要。
Objective To explore the methods of diagnosis and treatment of intracranial aneurysms and the timing of treatment, and to improve the curative effect. Methods 172 cases of intracranial aneurysms were surgically closed. Among them, 18 patients underwent microsurgery and 21 patients underwent early surgery within three days after hemorrhage. The results were excellent in 126 cases, good in 32 cases, poor in 6 cases, 1 case of plant survival, 7 cases of death (5 died in 1991). Microsurgery without death. Early surgical results are satisfactory. Conclusion CT, MRI and MRA provide important information for clinic. TCD can be used as noninvasive screening and DSA as the decisive examination. Winged point microsurgery operation and skilled with a good surgical group is the guarantee of successful operation, early surgical treatment and postoperative correct treatment is very important.