基底动脉主干动脉瘤的治疗  

Treatment of basilar artery trunk aneurysms

作　　者：毕园鸽 陈儇[1] 杨钟熙[1] 贾秀云 宋小鹏 周晶[1] Bi Yuange;Chen Xuan;Yang Zhongxi;Jia Xiuyun;Song Xiaopeng;Zhou Jing(Department of Neurosurgery,the First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院神经外科,长春130021

出　　处：《国际脑血管病杂志》2023年第6期462-466,共5页International Journal of Cerebrovascular Diseases

摘　　要：基底动脉主干动脉瘤(basilar artery trunk aneurysms,BTAs)较为罕见,其自然预后差,致残率和病死率高。BTAs的治疗方案包括保守治疗、开颅手术治疗以及血管内治疗。由于基底动脉解剖结构深在、穿支血管丰富且病理结构复杂,因此开颅手术治疗难度较大。目前对于BTAs的治疗尚无共识。文章就BTAs的治疗现状进行了综述,旨在为临床工作提供参考。Basilar artery trunk aneurysms(BTAs)are relatively rare,with poor natural prognosis,high disability and mortality rates.The treatment options for BTAs includes conservative treatment,craniotomy,and endovascular treatment.Due to the deep anatomical structure,rich perforating vessels,and complex pathological structure of the basilar artery,craniotomy is more difficult.There is currently no consensus on the treatment of BTAs.This article reviews the current treatment status of BTAs,aiming to provide reference for clinical work.

关 键 词：颅内动脉瘤 基底动脉 血管内手术 栓塞 治疗性 支架 神经外科手术 保守治疗 治疗结果 

分 类 号：R651.12[医药卫生—外科学]