颅外颈动脉瘤40例的诊断和治疗  

Diagnosis and treatment of extracranial carotid artery aneurysms:a report of 40 cases

作　　者：史振宇[1] 陈福真[1] 

机构地区：[1]上海医科大学附属中山医院血管外科

出　　处：《中华普通外科杂志》1999年第2期110-112,共3页Chinese Journal of General Surgery

摘　　要：目的探讨颅外颈动脉瘤的诊断与手术治疗方法。方法回顾性总结１９５３～１９９７年收治的４０例颅外颈动脉瘤的诊疗经验。结果４０例患者分别经动脉造影、数字减影血管造影（ｄｉｇｉｔａｌｓｕｂｓｔｒａｃｔｉｏｎａｎｇｉｏｇｒａｐｈｙ，ＤＳＡ）、超声波以及ＣＴ、磁共振血管成像（ｍａｇｎｅｔｉｃｒｅｓｏｎａｎｃｅａｎｇｉｏｇｒａｐｈｙ，ＭＲＡ）确诊。手术治疗３５例，其中动脉瘤切除后颈动脉重建１８例次，近远端动脉结扎１６例，颈总动脉结扎１例，行外包裹术１例，围手术期死亡１例。结论颈动脉血管造影术是诊断颅外颈动脉瘤最有效的手段。Objective To evaluate the efficiency of present diagnostic means for and the result of treatment of extracranial carotid artery aneurysm (ECAA). Methods 40 ECAA cases admitted from 1953 to 1997 were retrospectively analyzed. Results Arteriography, DSA, ultrasound, CT and MRA were used as means of diagnosis for ECAA. 35 patients (36 sessions) were operated upon, among them, 18 patients underwent aneurysmectomy with revascularization of the carotid artery, 16 had resection and proximal, distal ligation of the aneurysm, and ligation of common carotid artery and wrapping of the aneurysm was applied on one each. One patient died after operation. Conclusion Angiography is the most effective way to diagnose ECAA, protection of cerebral function and blood supply is the key to successful treatment.

关 键 词：颈动脉肿瘤 血管造影术 血管外科手术 

分 类 号：R543.405[医药卫生—心血管疾病]