颅外椎动脉狭窄行枕动脉-椎动脉血运重建术的相关研究进展  

Research Progress of Occipital-Vertebral Artery Revascularization for Extracranial Vertebral Artery Stenosis

作　　者：托元钊 王晓龙 韩利 丁新民 TUO Yuanzhao;WANG Xiaolong;HAN Li;DING Xinmin(Shanxi Medical University,Taiyuan 030000,China;Department of Neurosurgery,Shanxi Provincial People′s Hospital,Taiyuan 030012,China)

机构地区：[1]山西医科大学,太原030000 [2]山西省人民医院神经外科,太原030012

出　　处：《医学综述》2021年第14期2825-2829,共5页Medical Recapitulate

基　　金：山西省重点研发计划项目(201803D31162)。

摘　　要：后循环缺血是指椎-基底动脉系统相对供血不足。后循环缺血可导致后循环短暂性脑缺血发作、缺血性脑卒中以及椎基底动脉血栓栓塞等疾病。而颅外椎动脉狭窄(ECVAS)是导致后循环缺血的原因之一。治疗ECVAS的方法主要包括药物治疗、外科手术治疗和血管内介入治疗,对于严重的ECVAS,血运重建术非常有效。在血运重建术中,手术入路的选择对供受体血管的获取及吻合均至关重要。对于严重的ECVAS行血管内介入治疗后再狭窄的患者可考虑血运重建术,但相关术式还有待进一步探索。Posterior circulation ischemia is a kind of disease caused by insufficient blood supply of vertebrobasilar artery system,leading to transient ischemic attack,ischemic stroke and vertebrobasilar artery thromboembolism so on.Extracranial vertebral artery stenosis(ECVAS)is one of the causes of posterior circulation ischemia,and the treatments include drug therapy,surgery and endovascular interventional treatment.For serious ECVAS cases,surgical revascularization is considered to be effective,and the choice of surgical approach is essential to the vascular access for receptor vessel and anastomosis.For patients with restenosis after endovascular interventional therapy for severe ECVAS,revascularization can be considered,and the relevant surgical methods need to be further explored.

关 键 词：颅外椎动脉狭窄 后循环缺血 枕动脉 椎动脉 血管重建 

分 类 号：R654[医药卫生—外科学]