Andziak P
I Katedry i Kliniki Chirurgii II Wydziału Lekarskiego AM, Warszawie.
Pol Tyg Lek. 1994;49(16-17):384-7.
The results of experimental and clinical studies on internal carotid artery anomalies are presented. In the experimental studies it was found that only kinking caused considerable flow disturbances in the segment above the lesion. Loops and elongation of the artery caused no such disturbances. The clinical studies have shown that internal carotid artery anomalies are found in 32.7% of the patients in whom carotid and aortic arch arteriography was performed for various reasons. In 52 patients operated on for internal carotid artery anomalies, the final diagnosis was made on the basis of arteriography. Doppler and USG examinations proved to be of little usefulness in the diagnosis of internal carotid artery anomalies. Early good result of the operation was found in 43 patients (82.6%). Two patients died (3.8%). Thirty-five patients (67.3%) came for control examination. Good remote result of the operation was found in 29 patients (82.9%).
本文展示了关于颈内动脉异常的实验和临床研究结果。在实验研究中发现,只有血管扭曲会在病变上方节段引起明显的血流紊乱。动脉的袢状和伸长则不会导致此类紊乱。临床研究表明,在因各种原因进行颈动脉和主动脉弓血管造影的患者中,32.7%发现有颈内动脉异常。在52例因颈内动脉异常接受手术的患者中,最终诊断是基于血管造影做出的。事实证明,多普勒和超声检查在颈内动脉异常的诊断中作用不大。43例患者(82.6%)手术早期效果良好。2例患者死亡(3.8%)。35例患者(67.3%)前来接受复查。29例患者(82.9%)手术远期效果良好。