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颅内外血管吻合治疗缺血性脑血管病
引用本文:倪伟,顾宇翔,宋冬雷. 颅内外血管吻合治疗缺血性脑血管病[J]. 国际脑血管病杂志, 2009, 17(6). DOI: 10.3760/cma.j.issn.1673-4165.2009.06.010
作者姓名:倪伟  顾宇翔  宋冬雷
作者单位:复旦大学附属华山医院神经外科,上海,200040;复旦大学附属华山医院神经外科,上海,200040;复旦大学附属华山医院神经外科,上海,200040
基金项目:上海市科学技术委员会专项基金重点项目 
摘    要:颅内外血管吻合术这一精细的术式由Yasargil首次完成并逐渐发展起来,已被用于脑缺血性脑血瞥病、烟雾病、颅内动脉瘤和脑肿瘤的治疗.文章重点探讨其在缺血性脑血管病中的应用,并从缺血性脑血管病的血流动力学以及血管吻合术的适应证、术前评估、手术方式、术中评估、并发症、术后护理和预后等方面进行综述.

关 键 词:血管重建术  脑缺血  血流动力学

Extracranial-intracranial arterial bypass for ischemic cerebrovascular disease
NI Wei,GU Yu-xiang,SONG Dong-lei. Extracranial-intracranial arterial bypass for ischemic cerebrovascular disease[J]. International Journal of Cerebrovascular Diseases, 2009, 17(6). DOI: 10.3760/cma.j.issn.1673-4165.2009.06.010
Authors:NI Wei  GU Yu-xiang  SONG Dong-lei
Abstract:Extracranial-intracranial arterial bypass, an elegant procedure, was first performed and developed gradually by M. Gazi Yasargil. It has been used in the management of ischemic cerebrovascular disease, moyamoya disease, intracranial aneurysms and brain tumors.This article focuses on its application in the ischemic cerebrovascular disease, and reviews it from the aspects of cerebral hemodynamics of ischemic cerebrovascular disease, indications for arterial bypass, preoperative evaluation, operating modes, intraoperative assessment,complications, postoperative care and prognosis.
Keywords:revascularization  cerebral ischemia  hemodynamics
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