颈内动脉闭塞研究进展  

Research progress of internal carotid artery occlusion

作　　者：杨程 龙江[1] Yang Cheng;Long Jiang(the First Department of Neurosurgery,the First Affiliated Hospital of Kunming Medical University,Kunming 650032,China)

机构地区：[1]昆明医科大学第一附属医院神经外一科,650032

出　　处：《中国脑血管病杂志》2021年第3期210-216,共7页Chinese Journal of Cerebrovascular Diseases

摘　　要：颈内动脉闭塞(ICAO)分为急性颈内动脉闭塞(AICAO)与慢性颈内动脉闭塞(CICAO),两者相互联系又有区别,动脉粥样硬化和颈内动脉夹层是两者的共同病因,在病理生理改变方面两者也有相似之处。但在治疗方式上AICAO可行溶栓治疗,CICAO可行血管旁路移植术,以改善循环灌注。该文综述近年来ICAO在病因、病理生理、诊断方面的研究进展,对比不同治疗方式的疗效及预后,以深化临床医师对此疾病的认识,为不同患者采取个体化的治疗提供参考。Internal carotid artery occlusion can be divided into acute internal carotid artery occlusion(AICAO)and chronic internal carotid artery occlusion(CICAO),with both being interrelated and different from each other.Both diseases have the common causes of atherosclerosis and internal carotid artery dissection,and share similarities in pathophysiological changes.However,AICAO could be treated with thrombolysis,and CICAO with vascular bypass.This paper summarized recent studies on etiology,pathophysiology and diagnosis of internal carotid artery occlusion.Also,the efficacy and prognosis of different treatment methods were compared,aiming to deepen the clinicians′understanding of this disease and provide reference for individualized treatment.

关 键 词：颈内动脉 卒中 溶栓 再通 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]