중대뇌동맥 동맥류에 대한 임상적 연구 = Clinical Study of Middle Cerebral Artery Aneurysms

국문 초록 (Abstract)

1981년 부터 1990년 까지 과거 10년간 두개강내 동맥류로 본원 신경외과에 입원하여 수술 시행한 591례중 중대뇌동맥류 143례(24%)를 대상으로 임상적 분석과 아울러, 수술수기 및 문제점, 수술시기에 따른 예후, 합병증 등을 분석하였다.

다국어 초록 (Multilingual Abstract)

The principal role of operation for ruptured aneurysm has been to obliterate the sac and secure the patient's life from the hazards of rebleeding and vasospasm.
The authors analysed 143 microsurgically treated middle cerebral artery(MCA) aneurysm among 591 intracranial aneurysms in the department of neurosurgery, Paik hospital, Inje university during a 10-year period.
The surgical approaches of MCA aneurysm is by splitting the sylvian fissure and then either following the MCA distally to the aneurysm or following its branches proximally to the aneurysm. In large aneurysm, complete dissection of the aneurysm allows its safe mobilization to the provide full visualization of neck. Recurrent lenticulostriate vessels arising from the origin of the main divisions must be identified and separated from the neck.
Sixty-four cases were operated within 72 hours of SAH, 33 cases operated between 4 and 7 days and 46 cases operated after 7 days. There was a favorable outcome in 84% with 67% of mortality.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.연구 대상 및 방법
• Ⅲ.결과
• 1.빈도, 연령 및 성별분포
• 2.위치 및 크기
• 3.뇌전산화 단층 촬영 소견
• 4.수술방법 및 수술시 문제점
• 5.수술결과 및 수술 후 합병증
• Ⅳ.고찰
• Ⅴ.결론