鼻镜在显微手术治疗颅内动脉瘤术中应用的临床研究

摘要

This paper analysed the rhinoscope’s clinical value in microsurgical treatment of intracranial aneurysms. Application of the rhinoscope in 87 patients, only 2 patients had ruptured during operation. However, 11 cases had ruptured in 94 cases without using rhinoscope,P<0.05, they had a signifi cant difference. By DSA folow-up review, 82 cases of used rhinoscope only 2 cases had remained the aneurysm neck, but 9 cases had the aneurysm neck in 77 cases which had not used the rhinoscope in the microsurgical treatment,P<0.05, they also had signifi cant difference. The application of rhinoscope in microsurgical treatment of intracranial aneurysms intraoperative, can reduce the risk of the intraoperative aneurysm rupture. It can achieve better clinical effect.%该文分析显微手术治疗颅内动脉瘤术中应用鼻镜的临床价值。术中应用鼻镜的87例患者中仅有2例术中出现动脉瘤破裂，而未应用鼻镜的94例患者中有9例术中出现动脉瘤破裂出血，P<0.05,有统计学差异；DSA随访复查见应用鼻镜的82例中瘤颈残留的2例，而未用鼻镜的77例随访患者中瘤颈残留9例，P<0.05，存在统计学差异性。显微手术治疗颅内动脉瘤术中应用鼻镜辅助，能够降低术中动脉瘤破裂的风险，达到较好的临床应用效果。