应用锁孔策略缩短未破裂大脑中动脉动脉瘤夹闭手术住院时间
Keyholestrategyaimingatminimizinghospitalstayforsurgicalclippingofunrupturedmiddlecerebralarteryaneurysms
目的:大脑中动脉(MCA)动脉瘤目前仍然最常通过标准开颅术实施夹闭治疗,但是住院时间偏长则是该治疗手段的一个主要缺陷。作者提出了翼点锁孔夹闭未破裂MCA动脉瘤的治疗策略,旨在将住院时间降至最短。本文报告了他们使用该入路的经验,并且分析了其神经病学及放射学远期结果。
OBJECTIVEAneurysmsofthemiddlecerebralartery(MCA)arestillmostoftentreatedbyclippingthroughstandardcraniotomy,butalongerhospitalstayisoneofthemaindrawbacksofthistreatment.TheauthorsdevelopedapterionalkeyholeclippingstrategyforunrupturedMCAaneurysmswiththeintentionofminimizinghospitalstay.Inthispaper,theyreportontheirexperiencewiththisapproachandanalyzethelong-termneurologicalandradiologicalout