Sitkovskiĭ N B, Dan'shin T I, Kisel' N P
Klin Khir (1962). 1992(6):1-5.
In the pathogenesis of aneurysm of the internal jugular vein, the loss of its capacity function hampering blood outflow from the cranial cavity is of leading importance. Disorders in cerebral hemodynamics registered in rheoencephalography were revealed in all the patients examined. In 40% of them, the signs of venous encephalopathy were noted. Thus, presence of an aneurysm is an indication for operative intervention. The operation under the conditions of growing organism together with elimination of aneurysm is aimed at restoration of capacity function of the internal jugular vein and ensuring of its growth. Circular resection of aneurysm with end-to-end suturing of the vein and extravasal plasty with the use of polyurethane perforated tubular protector cut in a screw-shaped manner is an adequate operation.
在颈内静脉动脉瘤的发病机制中，其容量功能丧失阻碍血液从颅腔流出起着主导作用。在所有接受检查的患者中均发现了脑血流动力学紊乱，这在脑血流图检查中有所记录。其中40%的患者出现了静脉性脑病的体征。因此，动脉瘤的存在是手术干预的指征。在生长中的机体条件下进行手术并消除动脉瘤，旨在恢复颈内静脉的容量功能并确保其生长。采用静脉端端缝合的动脉瘤环形切除术以及使用螺旋状切割的聚氨酯多孔管状保护器进行血管外成形术是一种合适的手术方法。
