Effect of Additional Lateral Keyhole Approach and Pterygoid Approach in Anterior Communicating Aneurysms
Objective To investigate the clinical effect of additional lateral keyhole approach and pterygoid approach respectively in anterior communicating aneurysms.Methods The clinical data of sixty-two patients with anterior com-munication aneurysm rupture who underwent craniotomy aneurysm cliping operation in Pizhou Hospital of Traditional Chinese Medicine from March 2020 to May 2023 were retrospectively selected and divided into control group(n=31)and observation group(n=31)according to the surgical approach.The control group underwent pterygoid approach and the observation group underwent additional lateral keyhole approach.The operation status,postoperative daily living ability,neurological and cognitive function improvement were compared between the two groups,and the incidence of complications was analyzed.Results After treatment,the intraoperative blood loss in observation group(260.16±75.27)mL was less than that in control group,and the operative time(206.78±28.07)min and hospital stay(7.34±1.84)d were shorter than those in control group,and the difference was statistically significant(t=7.578,7.405,7.404,all P<0.05).The rate of aneurysm rupture and hemorrhage and the resection rate of direct cerebral gyrus in the obser-vation group were lower than those in the control group,neurological impairment score and daily living ability score in observation group were better than those in control group,the cognitive function score of the observation group was higher than that of the control group,and the differences were statistically significant(all P<0.05).After treatment,there were no statistically significant differences in the total incidence of new intracranial hemorrhage,transient isch-emia,infection,neurological symptoms and hydrocephalus between the two groups(P>0.05).Conclusion In patients with anterior communicating aneurysms,additional lateral keyhole approach and pterygal approach respectively have certain effects,but the effect of additional lateral keyhole approach is more ideal,which has significant advantages in improving neurological and cognitive functions and daily living ability,and does not cause serious complications.
NETL
NSTL
万方数据
维普
