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[颅内-颅外吻合术在脑动脉动脉瘤手术治疗中的应用]

[Extra-intracranial anastomosis in the surgical treatment of arterial aneurysms of the brain].

作者信息

Sakovich V P, Suslov S A, Spektor S M, Zhuravlev A V

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1987 Mar-Apr(2):13-9.

PMID:3591147
Abstract

Appraisal of the results of surgical treatment of 7 patients with arterial aneurysms of the carotid channel convinced the authors of the useful applicability of extra-intracranial anastomosis in occlusion of the cerebral arteries. The anastomosis provides for adequate compensation of circulation in the brain in occlusion of not only the internal carotid artery but also the middle cerebral artery. Depending on the surgical situation, extra-intracranial anastomosis can be performed both as a planned procedure and as an emergency measure. Emergency establishment of the anastomosis is useful in all cases of complications of the operations terminating in occlusion of the internal carotid or middle cerebral artery.

摘要

对7例颈动脉沟动脉瘤患者手术治疗结果的评估,使作者相信颅外-颅内吻合术在大脑动脉闭塞中具有实用价值。这种吻合术不仅能在颈内动脉闭塞时,还能在大脑中动脉闭塞时为大脑循环提供充分的代偿。根据手术情况,颅外-颅内吻合术既可以作为一种计划性手术,也可以作为一种紧急措施来进行。在所有以内颈内动脉或大脑中动脉闭塞告终的手术并发症情况下,紧急建立吻合术都是有用的。

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