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手术血运重建技术在外颈动脉巨大动脉瘤中的应用:技术报告。

Application of surgical revascularization technique in giant aneurysm of the extracranial internal carotid artery: technical report.

机构信息

Department of Neurosurgery, Northern Jiangsu People's Hospital, Yangzhou, Jiangsu Province, China.

Department of Neurosurgery, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, Jiangsu Province, China.

出版信息

Acta Neurochir (Wien). 2024 Oct 15;166(1):410. doi: 10.1007/s00701-024-06311-8.

Abstract

PURPOSE

The purpose of this study is to illustrate the diagnostic and therapeutic value and clinical significance of surgical revascularization in giant aneurysms of the extracranial internal carotid artery.

METHODS

The research team screened a group of cases of giant aneurysms of the extracranial internal carotid artery and analyzed the detailed information of the enrolled patients in terms of their basic clinical characteristics, surgical approaches and clinical prognosis.

RESULTS

All patients had a good prognosis, except for one patient who was left with only mild facial nerve palsy (grade II facial paralysis). The results demonstrate that surgical revascularization is effective and safe in the treatment of giant aneurysms of the extracranial internal carotid artery.

CONCLUSION

The significant conclusion of this study is to provide an ideal alternative treatment for the treatment of giant aneurysms of the extracranial internal carotid artery. The surgical revascularization technique is a powerful tool for vascular neurosurgeons in the management of complex cerebrovascular diseases when traditional surgical clipping or endovascular interventions encounter bottlenecks.

摘要

目的

本研究旨在阐明颅外颈内动脉巨大动脉瘤手术血运重建的诊断和治疗价值及临床意义。

方法

研究团队筛选了一组颅外颈内动脉巨大动脉瘤病例,并对入组患者的详细信息进行了分析,包括基本临床特征、手术入路和临床预后。

结果

除 1 例患者遗留轻度面神经麻痹(面神经麻痹Ⅱ级)外,所有患者均预后良好。结果表明,手术血运重建治疗颅外颈内动脉巨大动脉瘤是有效且安全的。

结论

本研究的重要结论是为颅外颈内动脉巨大动脉瘤的治疗提供了一种理想的替代治疗方法。当传统的手术夹闭或血管内介入遇到瓶颈时,手术血运重建技术是血管神经外科医生处理复杂脑血管疾病的有力工具。

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