摘要
目的探讨巨大颈内动脉海绵窦段动脉瘤治疗中，“双保险”颅内外血管搭桥术的适应证、手术技巧和疗效。方法对5例巨大颈内动脉海绵窦段动脉瘤采用“双保险”颅内外血管搭桥（颞浅动脉-大脑中动脉；颈外动脉-桡动脉-大脑中动脉）、颈内动脉阻断术治疗，分析其治疗效果。结果术后血管造影显示，4例吻合血管通畅，1例颞浅动脉-大脑中动脉吻合口狭窄。5例动脉瘤均不显影。随访3—24个月，临床症状均有好转，无动脉瘤复发或破裂。结论“双保险”颅内外血管搭桥能有效防治术中、术后脑缺血，提高手术安全性，是治疗巨大颈内动脉海绵窦段动脉瘤有效、安全的方法。
Objective To study the effectiveness of＇ Double - insurance bypass＇ in the treatment of giant cavernous segment aneurysms of internal carotid artery and discuss the indications, surgical techniques and outcome. Method 5 patients with giant cavernous segment aneurysms were treated by the ligation or occlusion of the internal carotid artery with the double - insurance bypass （the superficial temporal artery to middle cerebral artery bypass and the external carotid artery to middle cerebral artery bypass through the radial artery）. Then the surgical results of the procedure were analyzed. Result Postoperative angiography revealed the patency of the grafts in four cases. In one patient, the narrow anastomotic site at the part of the superficial temporal artery to middle cerebral artery was found. There was no recurrent case. The patients were in excellent conditions during 3 - 24 months follow - up period. Conclusion In order to reduce the risk of ischemic complications associated with revascularization, the double - insurance bypass ccould be a safer and more potent surgical procedure for the treatment of giant cavernous segment aneurysms of internal carotid artery.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第8期699-703,共5页
Chinese Journal of Neurosurgery
基金
吉林省科学技术厅科学基金资助项目（20050407-2）
关键词
海绵窦
动脉瘤
脑血管重建术
治疗
Cavernous sinus
Aneurysm
Cerebral revascularization
Treatment
