青少年颈内动脉C1段巨大动脉瘤一例  

A case of giant aneurysm of C1 segment of internal carotid artery in adolescents

作　　者：解磊 王帅[1] 胡福广[1] 赵林[1] 王立群[1] Xie Lei;Wang Shuai;Hu Fuguang;Zhao Lin;Wang Liqun(Department of Neurosurgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院神经外科

出　　处：《脑与神经疾病杂志》2019年第8期490-493,共4页Journal of Brain and Nervous Diseases

摘　　要：目的探讨颈内动脉颅外段动脉瘤(ECAA)的治疗。方法分析河北医科大学第二医院神经外科收治的1例18岁女性青少年颈内动脉C1段巨大动脉瘤患者,因突发动脉瘤破裂,急症行颈内动脉闭塞术和颈内动脉远端阻断术,评论观察该术式对患者的疗效。结果患者恢复良好,临床症状消失,复查头颅CTA示,动脉瘤消失。结论颈内动脉C1段动脉瘤是指位于颈内动脉起始部与颈动脉管外口之间的动脉瘤,为消除巨大动脉瘤的占位效应和出血的潜在风险,对此类巨大动脉瘤应提倡积极的手术治疗,但手术直接夹闭动脉瘤颈十分困难,需要联合多种手术方法治疗。Objective To explore the treatment of aneurysms of the extracranial carotid artery.Methods Analyze a case of 18-year-old female adolescent with large aneurysm of C1 segment of internal carotid artery admitted by Department of Neurosurgery,the Second Hospital of Hebei Medical University.Result The patient recovered well and the clinical symptoms disappeared.Reexamination of CTA of the skull showed that the aneurysm disappeared.Conclusions C1 segment internal carotid artery aneurysms are located between the initial part of the internal carotid artery and the external orifice of the carotid artery.In order to eliminate the space effect of large aneurysms and the potential risk of bleeding,positive direct surgical treatment is recommended for these large aneurysms,but the direct clipping of the aneurysm neck is very difficult,a variety of joint surgery methods need to be taken.

关 键 词：颈内动脉C1段动脉瘤 巨大动脉瘤 孤立术 

分 类 号：R651.12[医药卫生—外科学]