“真正”后交通动脉瘤介入治疗2例报告及文献复习  

Interventional therapy of true posteripr communicating artery aneurysms(report of 2 cases and review of literature)

作　　者：赵富文[1] 程序曲[1] 支文勇[1] 施振华[1] 蔡家晨 李健[1] 潘耀华[2] ZHAO Fu-wen;CHEN Xu-qu;ZHI Wen-yong(Department of Neurosurgery,the Second Hospital of Changshu,Changshu 215500,China)

机构地区：[1]常熟市第二人民医院神经外科,苏州215500 [2]上海交通大学医学院附属仁济医院神经外科

出　　处：《临床神经外科杂志》2018年第6期466-468,共3页Journal of Clinical Neurosurgery

基　　金：江苏省卫生计生委科研项目(YG2101504)

摘　　要：目的探讨胚胎型后交通动脉及胚胎型大脑后动脉与"真正"后交通动脉瘤的形成关系,以及该类型破裂动脉瘤的介入治疗方法选择的可行性。方法回顾分析常熟市第二人民医院近期2例临床诊断为破裂后交通动脉瘤的临床资料;并检索万方医学网相关文献进行复习。结果 2例患者的术前病史、急诊头颅CT为典型的破裂动脉瘤表现,CTA确诊左侧后交通动脉瘤,动脉瘤开口均位于后交通动脉上,且距颈内动脉后交通动脉结合部有一定距离,经术中DSA证实。综合动脉瘤情况选择单纯弹簧圈栓塞,治疗效果满意,术后反应轻,恢复快。结论 "真正"后交通动脉瘤多合并胚胎型后交通动脉,合适病例选择介入栓塞治疗效果良好。Objective To explore the relationships between the true posterior communicating artery aneurysms and embryonal PCA and PCoA and the possibility of using interventional therapy.Methods The clinical data of 2 patients dignosed as PCoA aneurysm were analyzed retrospectively and the literature were reviewed.Results The pre-surgery history of these 2 patients were classical manifestations of erupted PCoA aneurysm by head CT,which were clinically confirmed the left PCoA through head CTA.The base of the aneurysms were located entirely on the PCoA near the combination part of ICA and PCoA,which was clinically confirmed by DSA during the operation.We performed coil embolization therapy according to the locations and sizes of the aneurysms with a decent results.Conclusion The“true posteripr communicating artery aneurysms”mostly combined with embryonal PCoA and is suitable for the interventional therapy.

关 键 词：真正后交通动脉动脉瘤 大脑后动脉 介入治疗 

分 类 号：R651.1[医药卫生—外科学]