Comparison of the efficacy between pterional approach and transsupraorbital lateral approach for anterior intracranial circulation aneurysm clipping

doi:10.3877/cma.j.issn.2095-9141.2019.02.008

Abstract

Abstract:

Objective

To compare the efficacy of pterional approach and supraorbital lateral approach in the treatment of intracranial anterior circulation aneurysms.

Methods

Fifty patients with intracranial circulation aneurysms were selected in Aidebao Hospital from February 2016 to May 2018. Twenty-five cases were in supraorbital lateral approach group as research group, another 25 cases were in pterion approach surgery group as the control group. The clinical indicators, the changes of serum NSE and S100 levels before and after surgery, the incidence of adverse reactions and GOS scores were evaluated between the two groups.

Results

Compared with the control group, the study group had shorter incision length, shorter operation and hospitalization time, less intraoperative bleeding, smaller scope of bone window and lower defect of bone window, shorter hospitalization time, with statistical significance (P<0.05). Compared with the control group, the levels of NSE and S100β in the study group were lower, the clinical indicators improved significantly, the GOS score was higher, the incidence of adverse reactions was lower, the difference was statistically significant (P<0.05).

Conclusion

Supraorbital lateral approach can reduce the incidence of adverse reactions, improve the prognosis and quality of life in patients with intracranial anterior circulation aneurysms.

Key words: Pinion approach, Supraorbital lateral approach, Aneurysm clipping, Intracranial anterior circulation aneurysm

Jiarui Zhang, Quanle Zheng, Chunhu Li, Shunyi Zhou, Tongle Zhang. Comparison of the efficacy between pterional approach and transsupraorbital lateral approach for anterior intracranial circulation aneurysm clipping[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2019, 05(02): 97-100.

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References 15

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组别	例数	切口长度（cm）	手术时间（min）	术中出血量（mL）	骨窗范围（cm²）	骨质缺损（cm²）	住院时间（d）
研究组	25	13.52±1.43	205.21±40.52	122.43±11.79	2.38±0.15	0.51±0.07	1.82±0.48
对照组	25	16.51±2.34	229.28±40.07	236.35±32.38	5.38±0.42	1.08±0.02	2.59±0.71
t值	?	5.452	2.112	16.529	33.634	39.148	4.492
P值	?	0.001	0.040	0.001	0.001	0.001	0.001

组别	例数	切口长度（cm）	手术时间（min）	术中出血量（mL）	骨窗范围（cm²）	骨质缺损（cm²）	住院时间（d）
研究组	25	13.52±1.43	205.21±40.52	122.43±11.79	2.38±0.15	0.51±0.07	1.82±0.48
对照组	25	16.51±2.34	229.28±40.07	236.35±32.38	5.38±0.42	1.08±0.02	2.59±0.71
t值	?	5.452	2.112	16.529	33.634	39.148	4.492
P值	?	0.001	0.040	0.001	0.001	0.001	0.001

组别	例数	S100β 水平		NSE水平
组别	例数	术前	术后	术前	术后
研究组	25	0.64±0.13	0.68±0.03	47.13±11.21	51.15±12.38
对照组	25	0.58±0.17	0.72±0.02	46.89±11.03	60.72±13.65
t值	?	1.402	5.547	0.076	2.597
P值	?	0.167	0.001	0.940	0.013

组别	例数	S100β 水平		NSE水平
组别	例数	术前	术后	术前	术后
研究组	25	0.64±0.13	0.68±0.03	47.13±11.21	51.15±12.38
对照组	25	0.58±0.17	0.72±0.02	46.89±11.03	60.72±13.65
t值	?	1.402	5.547	0.076	2.597
P值	?	0.167	0.001	0.940	0.013

组别	例数	优秀	良好	死亡	优良率
研究组	25	17（68.0）	7（28.0）	1（4.0）	24（96.0）
对照组	25	11（44.0）	8（32.0）	6（24.0）	19（76.0）
χ²值	?	?	?	?	4.153
P值	?	?	?	?	0.042

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