枕下正中切口开颅术中椎动脉损伤的处理方法  

The handling methods of vertebral artery injuries during occipital midline incision craniotomy

作　　者：蒋宇钢[1] 罗勇勇[1] 

机构地区：[1]中南大学湘雅二医院,湖南长沙410011

出　　处：《中国当代医药》2012年第33期155-156,共2页China Modern Medicine

摘　　要：以枕下正中切口为入路的开颅术是颅后窝开颅术的常用术式,为充分暴露术野及达到减压目的 ,需用咬骨钳咬开枕骨大孔后缘和环椎后弓,在此过程中极易导致椎动脉损伤出血。椎动脉一旦损伤,出血汹涌,难以控制,处理不当可致患者术中失血性休克,甚至死亡,故临床需给予高度的重视,本文对椎动脉的解剖及损伤后的处理方法作一综述。The craniotomy via occipital midline incision approach is commonly used in posterior fossa craniotomy.To get the sufficient exposure of lesion and reduce the pressure,it is required to use rongeur to separate posterior foramen occipital magnum and posterior arch of atlas,during which vertebral artery injuries and tears and hemorrhage are very likely to occur.Once vertebral artery injuries occur,the massive bleeding is uncontrollable and the patients would suffer severe shock and even die if mishandled.Therefore,great importance should be attached to it clinically.This paper summarizes the dissection of vertebral artery and handling methods after operation.

关 键 词：椎动脉损伤 枕下正中切口 开颅术 处理方法 

分 类 号：R74[医药卫生—神经病学与精神病学]