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报告成功地手术切除1例大脑中动脉4×5×6cm动脉瘤,并首次以大脑中动脉端端吻合恢复其正常循环,术后造影示吻合口通畅,大脑中动脉分支显影良好,临床症状显著改善。认为此手术方法具有解除脑和血管受压及恢复脑正常血液循环通路等优点,良好的侧支循环和选择合适部位阻断大脑中动脉是手术成功的保证。
Reported the successful surgical removal of 1 case of middle cerebral artery 4 × 5 × 6cm aneurysm, and for the first time in the middle cerebral artery anastomosis to restore its normal circulation, postoperative angiography showed anastomotic patency, good middle cerebral artery branch imaging, clinical symptoms were significant improve. It is considered that this surgical method has the advantages of relieving the pressure on the brain and blood vessels and restoring the normal blood circulation of the brain. Good collateral circulation and the selection of a suitable site for blocking the middle cerebral artery are the guarantees of successful operation.