颅外颈动脉瘤的外科治疗分析  

Surgical treatment of extracranial carotid artery aneurysm

作　　者：辛世杰[1] 段志泉[1] 张强[1] 张荣义[1] 王新文[1] 张健[1] 董雨亭[1] 

机构地区：[1]中国医科大学附属第一临床学院外科

出　　处：《中华外科杂志》1998年第1期18-19,共2页Chinese Journal of Surgery

摘　　要：目的探讨颅外颈动脉瘤外科诊断和治疗的经验。方法总结了１９８６年１月～１９９７年６月期间收治颅外颈动脉瘤６７例（７０个），其中颈总动脉瘤１０例，颈动脉分叉处动脉瘤５３例（５６个），颈内动脉瘤３例，颈外动脉瘤１例。结果术后死亡率为１．５％，偏瘫发生率为４．５％。结论颅外颈动脉瘤是外周动脉瘤中少见疾病，临床一般检查是发现该病的重要手段，血管造影对了解血管形态、功能及病理生理情况起决定作用。颅内侧支循环血供的评价及Ｍａｔａｓ实验地应用是预防术后脑缺血并发症的关键所在。正确的选择手术术式是治疗成功的有力保证。Objective To study the experience in the treatment of extracranial carotid aneurysm.Methods 67 cases of extracranial carotid artery aneurysm(ECAA) were treated surgically from January 1986 to June 1997.Results There were a mortality rate of 1 5% and a hemiparalysis rate of 4 5%.Conclusion Clinical examinations are importantl for diagnosis of ECAA. Angiography plays a significant role in understanding the morphology, function, pathophysiology of ECAA. To decrease postoperative cerebral ischemia, collateral circulation of cerebral vessels should be evaluated and matas test done.Carrect operative method is a key factor for success ful treatment.

关 键 词：颈动脉瘤 血管外科手术 颅外 动脉瘤 

分 类 号：R543.405[医药卫生—心血管疾病]