| 创伤性颅颈部动脉夹层的诊治进展 |
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| 引用本文： | 马佩佩,左乔,方亦斌,刘建民. 创伤性颅颈部动脉夹层的诊治进展[J]. 第二军医大学学报, 2021, 42(2): 166-170. DOI: 10.16781/j.0258-879x.2021.02.0166 |
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| 作者姓名： | 马佩佩 左乔 方亦斌 刘建民 |
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| 作者单位： | 海军军医大学(第二军医大学)长海医院脑血管病中心,上海 200433;海军军医大学(第二军医大学)长海医院脑血管病中心,上海 200433;海军军医大学(第二军医大学)长海医院脑血管病中心,上海 200433;海军军医大学(第二军医大学)长海医院脑血管病中心,上海 200433 |
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| 基金项目： | 上海市临床重点专科项目（shslczdzk06101）. |
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| 摘 要： | 创伤性颅颈部动脉夹层(TCAD)是在外伤性因素作用下颅颈部动脉内膜撕裂,血液流入血管壁内导致壁间血肿形成或管腔移位.其最常引发的临床病变是缺血性脑卒中,但往往因缺乏首发症状被忽视.影像学检查对TCAD的诊断有重要意义,其中计算机断层扫描血管造影(CTA)为首选检查,当CTA无法确诊时可行数字减影血管造影(DSA).TC...
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| 关 键 词： | 创伤 夹层 颈动脉 椎动脉 诊断 治疗 |
| 收稿时间： | 2020-09-03 |
| 修稿时间： | 2020-12-17 |
Diagnosis and treatment of traumatic craniocervical arterial dissection: an update |
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| MA Pei-pei,ZUO Qiao,FANG Yi-bin,LIU Jian-min. Diagnosis and treatment of traumatic craniocervical arterial dissection: an update[J]. Former Academic Journal of Second Military Medical University, 2021, 42(2): 166-170. DOI: 10.16781/j.0258-879x.2021.02.0166 |
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| Authors: | MA Pei-pei ZUO Qiao FANG Yi-bin LIU Jian-min |
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| Affiliation: | Department of Neurosurgery,Changhai Hospital,Naval Medical University Second Military Medical University,Department of Neurosurgery,Changhai Hospital,Naval Medical University Second Military Medical University,Department of Neurosurgery,Changhai Hospital,Naval Medical University Second Military Medical University,Department of Neurosurgery,Changhai Hospital,Naval Medical University Second Military Medical University |
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| Abstract: | Traumatic craniocervical arterial dissection (TCAD) refers to intermural hematoma formed by blood flowing into the vessel wall when intima of the craniocervical artery avulsed by trauma. While ischemic stroke is the most common clinical manifestation, TCAD is often overlooked due to lack of onset symptoms. Imaging examination is of great value in the diagnosis of TCAD, and computed tomography angiography (CTA) is the primary choice. Digital substraction angiography (DSA) is feasible when TCAD cannot be diagnosed by CTA. The current main treatments for TCAD include antithrombotic treatment and surgery. Emerging new treatment methods represented by intravascular treatment are less difficult and risky, and with lower complication incidence rate compared with traditional open surgery. In this article, we will review the progress in the diagnosis and treatment of TCAD. |
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| Keywords: | Traumatic dissection carotid artery vertebral artery diagnosis treatment |
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