颅内外血管搭桥术在颅内动脉瘤治疗中的应用现状

• 作 者: 樊宇耕 陈延
• 机 构: 延安大学附属医院东关心脑血管专科医院神经外科,
• 出 处: 中国临床神经外科杂志
• 发表日期: 2004年期
• 关键词: 搭桥术 颅内动脉瘤 颅内复杂动脉瘤 血管闭塞试验 巨大型动脉瘤 血管内治疗 血管闭塞 动脉瘤 脑血管疾病 移植血管

颅内动脉瘤是一种常见的危害极大的脑血管疾病,是导致自发性蛛网膜下腔出血(subarachnoidhemorrhage,SAH)的主要原因,占SAH的75%~80%。颅内动脉瘤发病原因尚不十分清楚。其治疗方法包括血管内治疗和手术治疗。颅内外血管搭桥术在颅内复杂动脉瘤的治疗中已确立了重要地位[1,2]。近些年来,研究证明,颅内巨大型动脉瘤患者预后极差,可是采用颅内外血管搭桥术联合动脉瘤孤立术的致残率和死亡率远低于其自然史[3]。本文复习近年来国内外相关文献资料,综述颅内外血管搭桥术在颅内动脉瘤治疗中的应用现状。

Intracranial aneurysms are a common form of endangered cerebrovascular disease and are the leading cause of spontaneous subarachnoidhemorrhage (SAH), accounting for 75% to 80% of SAH. The cause of intracranial aneurysms is not yet clear. The treatment includes endovascular treatment and surgical treatment. Intracranial bypass has been established in the treatment of intracranial complex aneurysms [1,2]. In recent years, studies have shown that patients with giant intracranial aneurysms have very poor prognosis, but the use of extracranial extracranial bypass grafting combined with aneurysm solitary surgery, the morbidity and mortality is much lower than its natural history [3]. This review of recent years, relevant literature at home and abroad, summarizes the extracranial vascular bypass surgery in the treatment of intracranial aneurysms in the status quo.