颈内动脉闭塞的血管造影特点及其对外科治疗的指导意义  

Angiographic character of occlusion of internal carotid artery and its direction meaning to surgical therapy

作　　者：郝蔓春[1] 宋庆斌[1] 王玉林[1] 王金龙[1] 黄居易[1] 吴婷夏[1] 凌锋[1] 

机构地区：[1]首都医科大学宣武医院介入中心,100053

出　　处：《神经疾病与精神卫生》2008年第3期199-201,共3页Journal of Neuroscience and Mental Health

基　　金：国家自然科学基金资助(面上项目;项目标号:30500519);北京市重大科技攻关计划资助(基金编号:D0905002040231;D0905004040131)

摘　　要：目的分析颈动脉闭塞患者的全脑血管造影特点以及代偿方式,据其特点观察其对外科治疗的指导意义。方法2006年6月～2007年12月,收治颈动脉闭塞患者27例,均行全脑血管造影术。结果所有患者中,12例给予了颈动脉内膜剥脱术,共9例患者术后颈动脉再通,其中,术前顺向血流4例,逆向血流5例。结论全脑动脉造影对于颈动脉闭塞患者而言,其优势在于对于侧支循环的评价以及对全脑血管整体情况的判断,但其尚不能取代其他的评估方式。Objective To analyze the angiographic character of patients with internal carotid artery occlusion and the collateral method, to observe its direction meaning to the surgical therapy according to its character. Methods We reviewed 27 cases of internal carotid artery occlusion from Jun. 2006 to Dec. 2007 in our hospital. All cases were administered full cerebral artery angiography to get the essential information. Results In all cases, 12 cases underwent carotid artery endarterectomy, with 9 cases having successful results. In these 9 cases, 4 cases had forward flow to cerebral artery, and 5 had retro-flow. Conclusions Full cerebral artery angiography is essential to internal carotid artery occlusion. The advantages are the evaluation to collateral and the judgment to overall situation of full cerebral artery. But it＇s hard to replace other imaging methods.

关 键 词：颈内动脉 闭塞 血管造影 外科治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]