摘要： 采用标准经翼点入路手术夹闭52 例前交通动脉动脉瘤，术后随访6 个月至2 年，Glasgow预后分级恢复良好者47 例（90.38%）、轻残3 例（5.77%）、中残2 例（3.85%）。表明经翼点入路显微外科手术是治疗前交通动脉动脉瘤较为理想的方法。

关键词: 颅内动脉瘤, 蛛网膜下腔出血, 栓塞, 治疗性, 显微外科手术

Abstract: Objective To explore the operative experience of anterior communicating artery (ACoA) aneurysms treated with microsurgery via pterional approach. Methods The clinical manifestations, angiograms, and surgical operation in 52 patients with ACoA were retrospectively analyzed. Results Clipping of aneurysms was successfully achieved in all cases. According to Glasgow Outcome Scale (GOS), 47 patients (90.38%) were discharged in good condition, 3 patients (5.77%) were in slight disability, 2 patients (3.85%) were in moderate disability. Conclusion Pterional approach to an anterior communicating artery aneurysm is an excellent accessing method.

Key words: Intracranial aneurysm, Subarachnoid hemorrhage, Embolization, therapeutic, Microsurgery