| 颅外颈动脉瘤的外科治疗分析 |
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| 引用本文： | 辛世杰,段志泉,张强.颅外颈动脉瘤的外科治疗分析[J].中华外科杂志,1998,36(1):18-19. |
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| 作者姓名： | 辛世杰 段志泉 张强 |
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| 作者单位： | 中国医科大学附属第一临床学院外科 |
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| 摘 要： | 目的探讨颅外颈动脉瘤外科诊断和治疗的经验。方法总结了１９８６年１月～１９９７年６月期间收治颅外颈动脉瘤６７例（７０个），其中颈总动脉瘤１０例，颈动脉分叉处动脉瘤５３例（５６个），颈内动脉瘤３例，颈外动脉瘤１例。结果术后死亡率为１．５％，偏瘫发生率为４．５％。结论颅外颈动脉瘤是外周动脉瘤中少见疾病，临床一般检查是发现该病的重要手段，血管造影对了解血管形态、功能及病理生理情况起决定作用。颅内侧支循环血供的评价及Ｍａｔａｓ实验地应用是预防术后脑缺血并发症的关键所在。正确的选择手术术式是治疗成功的有力保证。
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| 关 键 词： | 动脉瘤 血管外科手术 |
Surgical treatment of extracranial carotid artery aneurysm |
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| A comparative study
on transabdominal versus retroperitoneal approach for abdominal
aortic surgery Jing,Zaiping.Surgical treatment of extracranial carotid artery aneurysm[J].Chinese Journal of Surgery,1998,36(1):18-19. |
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| Authors: | A comparative study
on transabdominal versus retroperitoneal approach for abdominal
aortic surgery Jing Zaiping |
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| Institution: | Department of Surgery, First Clinical College, China Medical University, Shenyang 110001. |
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| Abstract: | Objective To study the experience in the treatment of extracranial carotid aneurysm.Methods 67 cases of extracranial carotid artery aneurysm(ECAA) were treated surgically from January 1986 to June 1997.Results There were a mortality rate of 1 5% and a hemiparalysis rate of 4 5%.Conclusion Clinical examinations are importantl for diagnosis of ECAA. Angiography plays a significant role in understanding the morphology, function, pathophysiology of ECAA. To decrease postoperative cerebral ischemia, collateral circulation of cerebral vessels should be evaluated and matas test done.Carrect operative method is a key factor for success ful treatment. |
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| Keywords: | Aneurysm Vascular surgery |
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