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颈内动脉海绵窦段动脉瘤的外科治疗

Surgical treatment of carotid cavernous aneurysms.

作者信息

Jafar J J, Huang P P

机构信息

Division of Cerebrovascular Surgery, Department of Neurosurgery, New York University Medical Center, New York, New York 10016, USA.

出版信息

Neurosurg Clin N Am. 1998 Oct;9(4):755-63.

PMID:9738105
Abstract

Carotid cavernous aneurysms are distinct entities. The anatomy of the cavernous sinus region has been well defined, and most spontaneous aneurysms of the cavernous sinus region carry a benign prognosis. Progressively symptomatic, traumatic, or infectious aneurysms require treatment. This can be accomplished by carotid occlusion, extra cranial to intracranial bypass, or direct surgery.

摘要

颈内动脉海绵窦段动脉瘤是一种独特的疾病实体。海绵窦区域的解剖结构已被明确界定,大多数海绵窦区域的自发性动脉瘤预后良好。有进行性症状、创伤性或感染性的动脉瘤则需要治疗。这可以通过颈内动脉闭塞、颅外至颅内搭桥或直接手术来实现。

相似文献

1
Surgical treatment of carotid cavernous aneurysms.颈内动脉海绵窦段动脉瘤的外科治疗
Neurosurg Clin N Am. 1998 Oct;9(4):755-63.
2
[Traumatic carotid-cavernous aneurysm after removal of cancer of the upper jaw: a case report].[上颌骨癌切除术后创伤性颈内动脉海绵窦段动脉瘤:一例报告]
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[Surgical treatment of bilateral traumatic carotid-cavernous aneurysms].双侧创伤性颈内动脉海绵窦动脉瘤的外科治疗
Vopr Neirokhir. 1968 Sep-Oct;32(5):12-4.
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Combining Internal Carotid Ligation with Low-Flow Bypass for Treating Large-Giant Cavernous Sinus Segment Aneurysms: A Report of Four Cases.颈内动脉结扎联合低流量旁路术治疗大型-巨大型海绵窦段动脉瘤:4例报告
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[A giant aneurysm of the internal carotid artery treated by intracranial direct surgery--with a special reference to the anatomical relationship between the cavernous sinus and the internal carotid artery (author's transl)].
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[Giant aneurysm--manifestations, diagnosis and therapy].[巨大动脉瘤——表现、诊断与治疗]
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Interpositional carotid artery bypass strategies in the surgical management of aneurysms and tumors of the skull base.颅底动脉瘤和肿瘤手术治疗中的颈动脉间置旁路策略。
Neurosurg Focus. 2003 Mar 15;14(3):e2.
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Combined extracranial-intracranial bypass and intraoperative balloon occlusion for the treatment of intracavernous and proximal carotid artery aneurysms.联合颅外-颅内搭桥术及术中球囊闭塞术治疗海绵窦段及颈内动脉近端动脉瘤
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[The surgery of giant symptomatic cavernous sinus aneurysms].[巨大症状性海绵窦动脉瘤的手术治疗]
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[Treatment of aneurysm of the cavernous carotid artery by electrothrombosis: a report of 4 cases].
Zhonghua Wai Ke Za Zhi. 1985 Oct;23(10):589-91, 636.

引用本文的文献

1
High-flow bypass with radial artery graft followed by internal carotid artery ligation for large or giant aneurysms of cavernous or cervical portion: clinical results and cognitive performance.采用桡动脉移植行高流量搭桥术,随后结扎颈内动脉治疗海绵窦段或颈段大型或巨大动脉瘤:临床结果及认知表现
Neurosurg Rev. 2018 Apr;41(2):655-665. doi: 10.1007/s10143-017-0911-3. Epub 2017 Sep 27.
2
Cavernous carotid aneurysms in the era of flow diversion: a need to revisit treatment paradigms.血流导向时代的海绵窦段颈内动脉瘤:需要重新审视治疗模式。
AJNR Am J Neuroradiol. 2014 Dec;35(12):2334-40. doi: 10.3174/ajnr.A4081. Epub 2014 Aug 21.
3
Ruptured cavernous sinus aneurysms causing carotid cavernous fistula: incidence, clinical presentation, treatment, and outcome.
导致颈内动脉海绵窦瘘的海绵窦动脉瘤破裂:发病率、临床表现、治疗及预后
AJNR Am J Neuroradiol. 2006 Jan;27(1):185-9.