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脑动脉瘤的破裂是脑膜和(或)脑出血的最常见原因之一.现代显微外科技术可以更好地显露和矫正这些动脉畸形.本文报告经手术治疗的300个颅内动脉瘤,以分析影响其预后的因素.本组共292例,男性177例,女性115例.285例为单一动脉瘤,6例为两个,一例为三个.多发性动脉瘤均在同一次手术时治疗.年龄12～74岁,以40～60岁最多,计207例.前交通动脉的动脉瘤最多(102例).颈动脉的动脉瘤87例,包括发出后交通支处的颈动脉后面的动脉瘤66例,颈动脉分叉部的动脉瘤16例及颈—眼动脉的动脉瘤5例.27次畸形发生在胼胝体周围动脉起始部.椎基底动脉瘤极少,2例位于基底干的一端,4例发生于小脑后下动脉起始部.196例经腰穿证实脑膜出血而发现了脑血管畸形,93例有或轻或重的脑内出血或血肿.51例有脑
The rupture of cerebral aneurysm is one of the most common causes of meningeal and / or cerebral hemorrhage.Modern microsurgery can better reveal and correct these arterial malformations.This paper reports the surgical treatment of 300 intracranial aneurysms Analysis of the factors that affect the prognosis of this group a total of 292 cases, 177 males and 115 females .285 cases of single aneurysms, 6 cases of two, a case of 3. Multiple aneurysms are treated with the same operation .Age of 12 to 74 years old, 40 to 60 years old up to a maximum of 207 cases.Anterior aneurysm in the anterior communicating artery was the largest (102 cases) .Amoma of the carotid artery in 87 cases, including posterior communicating artery posterior carotid artery 66 cases of aneurysm, 16 cases of aneurysm of carotid bifurcation and 5 cases of aneurysm of neck-ophthalmopathy .Twenty-seven deformities occurred in the initial part of the corpus callosum .Among the vertebrobasilar aneurysms, One end, 4 cases occurred in the beginning of the posterior inferior cerebellar artery.196 cases of meningeal hemorrhage confirmed by lumbar puncture and found that cerebral vascular malformations, 93 cases of mild or severe intracerebral hemorrhage or hematoma in 51 cases of brain