Lateral supraorbital approach applied to microsurgery of anterior circulation aneurysms at acute phase
10.3760/cma.j.issn.1671-8925.2013.09.020
- VernacularTitle:眶上外侧入路在颅内前循环动脉瘤破裂急性期显微手术中的应用
- Author:
Gang CHEN
1
;
Zheng-Lou CHEN
;
Wan-Chun YOU
;
Zhong WANG
Author Information
1. 苏州大学附属第一医院神经外科
- Keywords:
Aneurysm;
Anterior circulation;
Lateral supraorbital approach;
Pterional approach
- From:
Chinese Journal of Neuromedicine
2013;12(9):950-952
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical practice ofmicrosurgical operation in intracranial ruptured aneurysms of anterior circulation via lateral supraorbital approach and pterional approach.Methods A retrospective analysis was performed on the clinical data of 74 patients with intracranial ruptured aneurysms of anterior circulation,admitted to our hospital from June 2011 to December 2011;38 patients were assigned to neurosurgical treatment via lateral supraorbital approach,while the other 36 were performed neurosurgical treatment via pterional approach.Statistical analysis was performed on the clinical data.Results In the patients performed neurosurgical treatment via lateral supraorbital approach,the average operation time was (142±32) min,average length of incision was (9.2± 1.5) cm,and the mean hospital stay was (11.9±4.3) d.Two months after discharge,33 got recovery and 5 had light disability; no severe disability or PVS was observed.No significant difference was noted in good recovery rate and clipping success rate between the two group patients (P＞0.05),but significant differences were observed in the operation time,length of incisions,and mean hospital stay between the two group patients (P＜0.05).Conclusion Neurosurgical treatment via lateral supraorbital approach is a safe and mini-invasive method for intracranial ruptured aneurysms of anterior circulation,which is more suitable for extensive promotion.
