| 颅内外血管重建用于颅内复杂动脉瘤的治疗(附11例分析) |
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| 引用本文： | 佟志勇,王运杰,梁传声.颅内外血管重建用于颅内复杂动脉瘤的治疗(附11例分析)[J].中国微侵袭神经外科杂志,2008,13(7). |
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| 作者姓名： | 佟志勇 王运杰 梁传声 |
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| 作者单位： | 中国医科大学附属第一医院神经外科,辽宁,沈阳,110001 |
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| 基金项目： | 辽宁省科学技术计划项目资助 |
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| 摘 要： | 目的探讨应用颅内外血管重建技术治疗颅内复杂动脉瘤的技术要点。方法回顾性分析应用颅内外血管重建技术治疗11例颅内复杂动脉瘤的经验。行颈外动脉-大隐静脉-大脑中动脉搭桥手术5例,颈外动脉-桡动脉-大脑中动脉搭桥手术3例,颞浅动脉-大脑中动脉搭桥手术2例,枕动脉-小脑后下动脉搭桥手术1例。搭桥手术后行动脉瘤孤立术5例,载瘤动脉近心端阻断术6例。结果术后血管造影或3D-CTA显示吻合血管通畅9例,急性闭塞1例,慢性闭塞1例;动脉瘤不显影10例,动脉瘤接受对侧椎动脉供血而需行进一步介入栓塞治疗1例。术后随访6～67个月,平均40.6个月;1例移植血管慢性闭塞病人在术后第50个月死亡,余10例病人临床表现不同程度改善,未发生再出血。结论颅内外血管重建结合载瘤动脉近心端阻断或动脉瘤孤立术是治疗颅内复杂动脉瘤的有效方法。
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| 关 键 词： | 脑血管重建术 颅内动脉瘤 显微外科手术 |
Extra-and intra-cranial revascularizafion in the treatment of complex intracranial aneurysms: analysis of 11 cases |
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| Institution: | TONG Zhiyong; WANG Yunjie; LIANG Chuansheng Department of Neurosurgery; First Affiliated Hospital of China Medical University; Shenyang 110001; China; |
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| Abstract: | Objective To evaluate the effectiveness of extra-and intra-cranial revascularization in the treatment of complex intracranial aneurysms and explore the surgical techniques for revascularization. Methods Experience in extra-and intracranial revascularization in 11 patients with complex intracranial aneurysms was analyzed retrospectively. External carotid artery (ECA)-great saphenous vein-middle cerebral artery (MCA) bypass was performed in 5 cases,ECA-radial artery-MCA bypass in 3,superficial temporal artery... |
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| Keywords: | cerebral revascularization intracranial aneurysm microsurgery |
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