精品文档---下载后可任意编辑40 例Ⅲ-Ⅳ 级前交通动脉瘤夹闭后行蛛网膜松解手术愈后分析的开题报告摘要目的：分析 40 例Ⅲ-Ⅳ 级前交通动脉瘤夹闭患者手术后行蛛网膜松解的疗效，评估其临床价值。方法：本讨论回顾性分析 40 例Ⅲ-Ⅳ 级前交通动脉瘤夹闭患者的临床资料。所有患者均行手术治疗，并在操作后行蛛网膜松解。对手术及松解前后的神经功能评估，并统计症状、体征改善情况、手术并发症等指标。结果：所有患者均成功完成手术以及后续的蛛网膜松解操作。手术后患者的神经功能得到改善，其中 18 例临床症状完全缓解，18 例症状得到明显改善，4 例症状无明显改善。操作过程中未发现严重并发症，术后 1 例患者出现跌倒的轻微并发症。结论：对于Ⅲ-Ⅳ 级前交通动脉瘤夹闭的患者，手术治疗并进行蛛网膜松解操作可以有效改善其症状和神经功能，是一种安全有效的治疗措施。关键词：前交通动脉瘤夹闭；蛛网膜松解；手术治疗；疗效；并发症。AbstractObjective: To analyze the efficacy of arachnoid dissection after surgery in 40 patients with grade III-IV anterior communicating artery aneurysm clipping and evaluate its clinical value.Methods: This study retrospectively analyzed the clinical data of 40 patients with grade III-IV anterior communicating artery aneurysm clipping. All patients underwent surgical treatment and subsequent arachnoid dissection. The neurological function before and after the operation was evaluated, and the improvement of symptoms, signs, and surgical complications were recorded.Results: All patients successfully completed surgery and subsequent arachnoid dissection. The neurological function of the patients improved after surgery. Among them, 18 cases had complete relief of clinical symptoms, 18 cases had 精品文档---下载后可任意编辑significant improvement, and 4 cases had no obvious improvement. No serious complications were found during the operation, and 1 patient had a mild complication of falling after surgery.Conclusion: For patients with grade III-IV anterior communicating artery aneurysm clipping, surgical treatment and subsequent arachnoid dissection can effectively improve their symptoms and neurological function, and is a safe and effective treatment option.Keywords: anterior communicating artery aneurysm clipping; arachnoid dissection; surgical treatment; efficacy; complications.
