颈外动脉-桡动脉-岩骨段颈内动脉搭桥治疗巨大高颈段动脉瘤  

External carotid artery-to-petrous internal carotid artery radial artery graft bypass for giant high cervical aneurysm

作　　者：郭文强 高恺明[2] 佟小光[2] GUO Wenqiang;GAO Kaiming;TONG Xiaoguang(Department of Neurosurgery,Qilu Hospital of Shandong University(Qingdao),Qingdao 266035,Shandong,China;2.Department of Neurosurgery,Tianjin Huanhu Hospital,Tianjin 300074,China)

机构地区：[1]山东大学齐鲁医院(青岛)神经外科,山东青岛266035 [2]天津市环湖医院神经外科,天津300074

出　　处：《山东大学学报（医学版）》2024年第2期96-100,共5页Journal of Shandong University:Health Sciences

摘　　要：目的探讨巨大高颈段颈内动脉动脉瘤的治疗策略。方法回顾性分析1例巨大高颈段颈内动脉动脉瘤患者的临床资料、手术策略及随访,回顾相关文献。结果1例52岁男性,因“间断呛咳1年,加重伴头痛2个月”入院,DSA提示右侧巨大高颈段颈内动脉动脉瘤,行颈外动脉-桡动脉-颈内动脉岩骨段搭桥并动脉瘤孤立术,术后造影显示动脉瘤消失,桥血管通畅。术后无新发脑缺血或脑梗死,无新发神经功能障碍,原有症状显著改善。结论对于高颈段的巨大颈内动脉动脉瘤的治疗,脑血管搭桥手术仍然是有效治疗方案之一,颈外动脉-桡动脉-岩骨段颈内动脉搭桥可以很好地处理此类病变,是理想的治疗手段。Objective To investigate the treatment strategy of giant high cervical extracranial internal carotid artery aneurysm(EICAA).Methods The clinical data,surgical strategy and follow-up of one case were retrospectively analyzed,and the relevant literature was reviewed.Results A 52-year-old male was admitted to hospital due to“intermittent cough for 1 year,aggravation and headache for 2 months”.DSA showed a giant right high cervical EICAA.An external carotid artery-radial artery graft-internal carotid artery petrous segment bypass combined with aneurysm trapping was performed.There was no new cerebral ischemia or cerebral infarction after surgery,no new neurological dysfunction,and the original symptoms were significantly improved.Conclusion Cerebrovascular bypass surgery is still one of the effective treatment strategies for large internal carotid artery aneurysms with high cervical segments,and internal carotid artery bypass grafting in the external carotid artery-radial artery-petrosal segment can effectively deal with such lesions.

关 键 词：高颈段 巨大动脉瘤 颈内动脉岩骨段 搭桥 

分 类 号：R651.1[医药卫生—外科学]