Clinical comparative study between the interhemispheric approach and the pterional approach in craniotomy anterior communicating aneurysm clipping surgery
10.3760/cma.j.issn.1008-1372.2017.09.008
- VernacularTitle:纵裂入路与翼点入路夹闭前交通动脉瘤临床对比研究
- Author:
Weiwei DONG
1
;
Xinxing LI
;
Hongyu DIAO
;
Yunhui LIU
Author Information
1. 中国医科大学附属盛京医院第一神经外科
- Keywords:
Intracranial aneurysm/SU;
Forehead/SU;
Anterior cerebral artery/PA
- From:
Journal of Chinese Physician
2017;19(9):1309-1312,1316
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze and compare the intraoperative and postoperative clinical efficacies between the interhemispheric approach and pterional approach in craniotomy anterior communicating aneurysm clipping surgery.Methods A total of 21 cases of anterior communicating artery aneurysms with subarachnoid hemorrhage undergoing surgery of craniotomy clipping from January 2012 to December 2016 in the Department of Neurosurgery of Shengjing Hospital of China Medical University,in which 13 cases were treated by pterional approach and 8 cases were treated by interhemispheric approach.Two kinds of operation approaches were compared in operation time,intraoperative aneurysm rupture rate,intraoperative bleeding volume,average length of stay,incidence rate of postoperative fection,and Glasgow Outcome Scale (GOS).Results There were no significant difference in intraoperative aneurysm rupture rate,intraoperative bleeding volume,inicidence rate of postoperative infection rate,and GOS scores (P ＞ 0.05).But the opreration time and average length of stay in interhemispheric approach group were significantly shorter than the pterional approach group (P ＜ 0.05).Conclusions Approach of interhemispheric was a safe,effective,and convenient approach for the craniotomy of clipping in anterior communicating artery aneurysm.
