Ogasawara Kuniaki
Nihon Rinsho. 2016 Apr;74(4):567-72.
Kinds and procedures of microsurgery for cerebrovascular diseases have almost not changed for recent several decades. However, indication of the microsurgery has changed with establishment of its evidences and development of novel treatment such as endovascular surgery or radiosurgery. Advancement of neuroimaging also has leaded to arguments regarding indication of preventative surgery. Further, development of molecular biological techniques has resulted in new findings that get the heart of the disorder.
近几十年来，脑血管疾病显微手术的种类和操作几乎没有变化。然而，随着显微手术证据的确立以及血管内手术或放射外科等新治疗方法的发展，显微手术的适应证发生了变化。神经影像学的进步也引发了关于预防性手术适应证的争论。此外，分子生物学技术的发展带来了直击疾病核心的新发现。
