后循环动脉瘤治疗的相关研究进展  

Research Progress in Treatment of Posterior Circulation Aneurysms

作　　者：赵志宇 丁新民 王晓龙 韩利 托元钊 ZHAO Zhiyu;DING Xinmin;WANG Xiaolong;HAN Li;TUO Yuanzhao(Shanxi Medical University,Taiyuan 030012,China;Department of Neurosurgery,the Affiliated People′s Hospital of Shanxi Medical University,Taiyuan 030012,China)

机构地区：[1]山西医科大学,太原030012 [2]山西医科大学附属人民医院神经外科,太原030012

出　　处：《医学综述》2021年第5期931-935,941,共6页Medical Recapitulate

基　　金：山西省重点研发计划(201803D31162)。

摘　　要：后循环动脉瘤解剖位置较深,与后组颅神经关系密切。切除或孤立后循环动脉瘤联合血管旁路移植术可以完全消除动脉瘤并预防脑干缺血。在脑血管旁路移植术中,关注重点在于血管重构后血管的再通,但旁路移植的方式存在多样性,且血管旁路移植的效果目前也缺乏血流动力学方面的支持。血流动力学中的相关参数对术后血管再通有重要参考意义,而计算机流体力学有助于临床试验模拟获得颅内血管血流动力学的信息,因此未来可通过多学科合作,帮助临床做出最优决策。The anatomical location of posterior circulation aneurysm is deep,which is closely related to the posterior cranial nerve.Resection or isolation of posterior circulation aneurysms combined with bypass grafting can completely eliminate aneurysms and prevent brain stem ischemia.In the cerebrovascular diseases bypass grafting,the focus is on the recanalization of reconstructed blood vessels.However,the bypass grafting manner is diverse,and the effect of the operation is lack of hemodynamic support at present.Some literature indicated that relevant parameters of hemodynamics have great reference significance for postoperative vascular recanalization.Computer fluid dynamics can help to simulate the hemodynamics of intracranial vessels in clinical trials,and in the future,it can help to make optimal clinical decisions through multidisciplinary cooperation.

关 键 词：后循环动脉瘤 旁路移植 血流动力学 计算机流体动力学 

分 类 号：R743.9[医药卫生—神经病学与精神病学]