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囊基底动脉干动脉瘤的微手术治疗:结果和案例说明

Revaz Dzhindzhikhadze¹, Vadim Gadzhiagaev¹, Andrey Polyakov¹

¹Department of Neurosurgery, Moscow Regional Clinical Research Institute, Moscow, Russia.

Journal of cerebrovascular and endovascular neurosurgery

|October 29, 2025

概括

微手术有效地治疗基底动脉 (BA) 干动脉瘤,提供高阻塞率和有利的结果. 这种方法推用于复杂的BA干动脉瘤,特别是那些位于上大脑小动脉起源的动脉瘤.

科学领域:

神经外科神经外科
血管神经学血管神经学
脑血管外科脑血管外科

背景情况:

基底动脉 (BA) 干的囊性动脉瘤很少见,并带来了重大的神经外科挑战.
对于BA干动脉瘤的手术方法是复杂的,需要专门的技术.

研究的目的:

评估微手术治疗基础动脉干动脉瘤的疗效和结果.
为了比较微手术的结果与内血管方法关于封闭率和并发症管理.

主要方法:

一个回顾性审查的23名患者与BA树干动脉瘤微手术治疗.
对患者人口统计,动脉瘤特征,手术技术和术后结果的分析.

主要成果:

在所有23名患者中都实现了完整的动脉瘤封闭,在随访期间没有再通道化.
87%的患者取得了良好的结果 (mRS 0-2),其中大多数患者患有下关节出血 (SAH).
在5名患者中发生过渡性眼运动神经功能障碍,明显恢复.

结论:

微手术治疗BA干动脉瘤可确保可靠的闭塞和低并发症率.
微手术是治疗BA干动脉瘤的首选选择,特别是那些在SCA起源的动脉瘤.

关键词:

基底动脉的基础动脉内动脉瘤是一个内动脉瘤.微手术微手术是一种微手术.神经外科神经外科

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