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颅内外血管搭桥术在复杂颅内动脉瘤治疗中的价值 被引量:29

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摘要 复杂颅内动脉瘤的范畴,在神经外科不同发展时期有所不同。近年来,复杂颅内动脉瘤的范畴在不断修正,涉及范围被不断缩小。但仍有部分动脉瘤,单独采用手术夹闭或血管内介入治疗也难以取得满意效果,主要原因为:①瘤颈较宽;②瘤体复杂;③体积较大,瘤体与载瘤动脉或重要穿通支共壁;④侧支循环较差,不能直接阻断载瘤动脉或孤立动脉瘤等。因此,对上述动脉瘤,只有在重建动脉瘤远端血流后,通过结扎动脉瘤供血动脉或孤立动脉瘤,才能防止动脉瘤破裂和减少动脉瘤占位效应。
作者 毛颖
出处 《中国脑血管病杂志》 CAS 2006年第3期97-99,共3页 Chinese Journal of Cerebrovascular Diseases
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