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椎动脉起始部及枕下三角处数字压迫的解剖学研究

Anatomical study of digital compression of the vertebral artery at its origin and at the suboccipital triangle.

作者信息

Vitte E, Feron J M, Guérin-Surville H, Koskas F

出版信息

Anat Clin. 1985;7(2):77-82. doi: 10.1007/BF01655508.

DOI:10.1007/BF01655508
PMID:4041276
Abstract

Manual compression of the vertebral artery is used in routine clinical practice for diagnosis of positional hemodynamic vertebro-basilar insufficiency (VBI). The supraclavicular and suboccipital areas were carefully dissected in 20 cadavers. Anatomical variations observed on dissection were compared to angiographic data from 150 patients and data from the literature. Objective results of manual compression of the vertebral artery can be obtained by sonography. In patients with VBI, such compression induces signs of reversible cerebellar or brain stem ischemia, whereas no signs are observed in patients without VBI.

摘要

在常规临床实践中,椎动脉手法压迫用于诊断体位性血流动力学椎动脉供血不足(VBI)。在20具尸体上仔细解剖了锁骨上区和枕下区。将解剖中观察到的解剖变异与150例患者的血管造影数据及文献数据进行比较。椎动脉手法压迫的客观结果可通过超声检查获得。在VBI患者中,这种压迫会诱发可逆性小脑或脑干缺血的体征,而在无VBI的患者中未观察到此类体征。

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Anatomical study of digital compression of the vertebral artery at its origin and at the suboccipital triangle.椎动脉起始部及枕下三角处数字压迫的解剖学研究
Anat Clin. 1985;7(2):77-82. doi: 10.1007/BF01655508.
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引用本文的文献

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A systematic classification of the vertebral artery variable origin: clinical and surgical implications.椎动脉变异起源的系统分类:临床及手术意义
Surg Radiol Anat. 2018 Jul;40(7):779-797. doi: 10.1007/s00276-018-1987-3. Epub 2018 Feb 19.

本文引用的文献

1
[Method of injection with plastic materials in pulmonary anatomy].[肺部解剖中塑料材料注射方法]
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2
Surgical approach to the whole length of the vertebral artery with special reference to the third portion.
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3
Vertebral artery reconstruction. A successful technique in selected patients.椎动脉重建术。一种适用于特定患者的成功技术。
Ann Surg. 1981 Apr;193(4):441-7. doi: 10.1097/00000658-198104000-00008.
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