颅外颈动脉瘤的诊断及手术治疗

探讨颅外颈动瘤的诊治。分析了两例复杂性颅外颈动有颈动脉的发病，症征，诊断，手术经过及结果。结果：两例均得到成功的诊治。随访４－６年，效果满意。结论：经验是选择颈动脉造影术对诊断及手术选择有很大的帮助，术前忌作断性穿刺；

Diagnosis and surgical treatment of the extracranial carotid aneurysm

To probe the diagnosis and treatment of extracranial carotid aneurysm. method: The pathogenesis, signs and symptoms, processes of diagnosis and surgical treatment and the results in two cases of extracranial carotid aneurysm were analysed. results:This two cases all acquired successful diagnosis and treatment. Their results were satisfid in the 4 and 6 years following up. conclusion: (1)Selective arteriography is very helpful for the diagnosis and operation choosing in this disease and diagnostic puncture must be avoided before operation; (2) Once this disease is definitely diagnosed, than the operation should be done as early as possible. A cervico-thoracic incision is available, the aneurysm should be incised and blood vessel should be transplantal; (3)Cerebral blood supply should be trained before ligation of cervical arteries. The Fang You-xian's ten principles should be applied after operation to protect the cerebral blood supply; (4)In this group, ore case sustained continued hypertension postoperatively, it is seen very rare and is worth for further study.