超声辅助技术在颅内远端动脉瘤开颅夹闭术中的应用研究

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (33 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of ultrasound-assisted technology in the treatment of intracranial distal aneurysms (PIA) with craniotomy and clipping. Methods A total of 100 PIA patients admitted to Jiangmen Central Hospital of Guangdong Province from September 2017 to July 2020 were selected for retrospective analysis. Accorded to whether ultrasound assisted technology was carried out, they were divided into control group (50 cases) and observation group (50 cases), those who did not perform the ultrasound-assisted technique for craniotomy and clipping were the control group, and those who performed the ultrasound-assisted technique for the craniotomy and clipping were the observation group. The effect of craniotomy and clipping, operation time, hospital stay and postoperative complications were compared between the two groups. Follow-up 2 months, the Glasgow Outcome Score (GOS) of the two groups was evaluated at discharge, 1 month after discharge, and 2 months after discharge. Results The complete clipping rate of the observation group (100.00%) was higher than that of the control group (90.00%), and the difference was statistically significant (P＜0.05); the operation time and hospital stay of the observation group were shorter than those of the control group, and the differences were statistically significant (P＜0.05); the total incidence of complications in the observation group (4.00%) was lower than that of the control group (20.00%), the difference was statistically significant(P＜0.05); the observation group was discharged from the hospital, 1 month after discharge, and 2 monthafter discharge,the GOS scores were higher than those of the control group, and the differences were statistically significant (P＜0.05).Conclusion The application of ultrasound-assisted technology in craniotomy and clipping surgery for PIA can improve the clipping effect, shorten the operation time and hospital stay, reduce postoperative complications, and improve the prognosis.

Key words： Ultrasound Intraoperative localization;Craniotomy clipping Peripheral intracranial aneurysms;Complications Glasgow outcome score

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I16/93

[1]	Wang YT，Emeto TI，Lee J，et al.Mouse models of intracranial aneurysm[J].Brain Pathol，2015，25（3）：237-247.
[2]	Rinaldo L，McCutcheon BA，Murphy ME，et al.Quantitative analysis of the effect of institutional case volume on complications after surgical clipping of unruptured aneurysms[J].J Neurosurg，2017，127（6）：1297-1306.
[3]	邓有琦，龙燕玲，邬宗国.破裂颅内动脉瘤性蛛网膜下腔出血患者脑梗死发生特征及其与临床预后的关系[J].脑与神经疾病杂志，2020，28（5）：309-313.
[4]	戴纯刚，陈爱林，孙超，等.神经导航辅助锁孔入路显微手术治疗颅内动脉远端动脉瘤[J].中华显微外科杂志，2019，42（6）：553-556.
[5]	卢洪流.中英对照GOS 评分[J].中华神经医学杂志，2005，4（5）：537.
[6]	武琛，孙正辉，王芙昱，等.颅内远端动脉瘤的外科治疗[J].中华医学杂志，2014，94（9）：698-700.
[7]	李培良，宋剑平，田彦龙，等.复合手术术中评估技术在复杂颅内动脉瘤治疗中的应用效果[J].中华神经外科杂志，2020，36（8）：809-813.
	[8Béres-Molnár KA，Folyovich A，Szloboda P，et al.Simultaneous subdural，subarachnoideal and intracerebral haemorrhage after rupture of a peripheral middle cerebral artery aneurysm[J].Ideggyogy Sz，2020，73（05-06）：213-216.
[9]	韩超，王成伟，丁璇，等.颅内后循环远端动脉瘤的外科治疗[J].山东大学学报（医学版），2016，54（10）：66-70.
[10]	谷洪梅，刘艳，张瑞芹.超声引导下星状神经节阻滞在动脉瘤夹闭术中的应用[J].医学综述，2017，23（22）：4522-4526.
[11]	韩国强，刘窗溪，高方友，等.吲哚箐绿血管造影在颅内动脉瘤夹闭术中的应用价值[J].贵州医药，2012，36（6）：505-508.
[12]	林惠岚，邱昭平，冯屹，等.颅内动脉瘤形态学和血流动力学特点分析[J].临床合理用药杂志，2020，13（16）：172-173.
[13]	茅磊，赵鑫，杭春华，等.微血管多普勒超声在颅内动脉瘤手术中的应用[J].中国脑血管病杂志，2016，13（9）：460-464，488.
[14]	冷基勇，丛培雨，王心民，等.多普勒血流探测仪在颅内动脉瘤夹闭术中的应用研究[J].中国医师进修杂志，2019，42（2）：121-123.
[15]	张华，雷炳松，徐丽琴，等.术中超声辅助技术夹闭颅内远端动脉瘤[J].中风与神经疾病杂志，2020，37（2）：134-137.
[16]	戴纯刚，陈爱林，孙超，等.神经导航辅助锁孔入路显微手术治疗颅内动脉远端动脉瘤[J].中华显微外科杂志，2019，42（6）：553-556.