ABSTRACT
Objective@#To explore the value and disadvantage of micro-mirror in the intracranial aneurysm surgery.@*Methods@#Micro-mirror was used to assist microsurgical clipping to 36 intracranial aneurysms in 31 cases, of which 3 were carotid-ophthalmic artery aneurysms, 3 anterior choroidal artery aneurysm, 11 were posterior communicating artery aneurysms, 7 were middle cerebral artery aneurysms, 10 anterior communicating artery or anterior cerebral artery aneurysms, and the others were a posterior cerebral artery aneurysm and a posterior inferior cerebellar artery aneurysm. The micro-mirror was used before and after clipping to observe the anatomic features of necks hidden behind and medial to aneurysms, to visualize surrounding neurovascular structures, and to verify the optimal clipping position. Intraoperative indocyanine green fluorescein angiography confirmed the success of sufficient clipping.@*Results@#All aneurysms were clipped successfully. The parent arteries were occluded temporarily in 26 cases, and 9 aneurysms ruptured during the operation. Postoperative follow-up lasted from 2 weeks to 1 year. After operations digital subtraction angiography (DSA) were repeated in 10 cases, computed tomography angiography(CTA) in 21 cases, and no insufficient clipping or occlusion of parent arteries were revealed.@*Conclusions@#Micro-mirror assisting microsurgical clipping to the intracranial aneurysm is conducive to accurate clipping, and is a convenient and practical operation.
ABSTRACT
Objective To explore the value and disadvantage of micro-mirror in the intracranial aneurysm surgery.Methods Micro-mirror was used to assist microsurgical clipping to 36 intracranial aneurysms in 31 cases,of which 3 were carotid-ophthalmic artery aneurysms,3 anterior choroidal artery aneurysm,11 were posterior communicating artery aneurysms,7 were middle cerebral artery aneurysms,10 anterior communicating artery or anterior cerebral artery aneurysms,and the others were a posterior cerebral artery aneurysm and a posterior inferior cerebellar artery aneurysm.The micro-mirror was used before and after clipping to observe the anatomic features of necks hidden behind and medial to aneurysms,to visualize surrounding neurovascular structures,and to verify the optimal clipping position.Intraoperative indocyanine green fluorescein angiography confirmed the success of sufficient clipping.Results All aneurysms were clipped successfully.The parent arteries were occluded temporarily in 26 cases,and 9 aneurysms ruptured during the operation.Postoperative follow-up lasted from 2 weeks to 1 year.After operations digital subtraction angiography (DSA) were repeated in 10 cases,computed tomography angiography(CTA) in 21 cases,and no insufficient clipping or occlusion of parent arteries were revealed.Conclusions Micro-mirror assisting microsurgical clipping to the intracranial aneurysm is conducive to accurate clipping,and is a convenient and practical operation.
ABSTRACT
BACKGROUND: With the increasing number of patients undergoing knee arthroplasty in China, the complications caused by the mismatch of prosthesis with anatomical parameters arouse extensive attentions.OBJECTIVE: To measure the anatomical parameters of the knee joints in healthy Zhuang ethnic group from Guangxi Zhuang Autonomous Region, China, using three-dimensional (3D) reconstruction technology, thus providing reference for the design and placement of the hip prosthesis.METHODS: Sixty-eight individuals, including 30 females and 38 males, were selected from 217 healthy people undergoing CT examination. All data were imported into Mimics 15.0 software used for 3D reconstruction, and then the knee parameters were then measured and analyzed.RESULTS AND CONCLUSION: There was no significant difference in the parameters of the bilateral femur and tibia (P > 0.05). The femoral parameters had significant differences between genders (P 0.05), while there were significant differences in the width of medial/lateral tibial platform, and sagittal length of medial tibial platform between genders (P < 0.05). The sagittal length of medial femoral condyle was negatively correlated with age, and all femoral parameters were positively correlated with height; while only the width of medial and lateral tibial platform were positively correlated with height. To conclude, 3D reconstruction technology is available for research on the morphology of the knee joint in the Zhuang ethnic group from Guangxi Zhuang Autonomous Region, which provides references for prosthesis design and research appropriate for the Zhuang ethnic group.