复杂颅内动脉瘤的颅内-颅内血管搭桥术  

Intracranial-intracranial bypass for the treatment of complex intracranial aneurysms:technical advances and surgical experience

作　　者：金凌骥 胡俊文 李寅 王林 JIN Ling-ji;HU Jun-wen;LI Yin;WANG Lin(Department of Neurosurgery,The Second Affiliated Hospital ZhejiangUniversity School of Medicine,Hangzhou 310009,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第二医院神经外科,杭州310009

出　　处：《中国现代神经疾病杂志》2024年第8期606-612,共7页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：国家自然科学基金资助项目(项目编号:81870910);国家自然科学基金资助项目(项目编号:82171271);浙江省自然科学基金重点资助项目(项目编号:LZ24H090001)。

摘　　要：颅内-颅内血管搭桥术是治疗复杂颅内动脉瘤的重要方法,根治动脉瘤的同时确保桥血管供血区灌注。为保证桥血管通畅和术后神经功能恢复,需综合动脉瘤、供体和受体动脉特征,采取合适的手术策略和搭桥方式。近年随着颅内-颅内血管搭桥术的发展,增加了新的供体和受体动脉、吻合方式、移植血管和辅助技术供神经外科医师选择。本文旨在回顾颅内-颅内血管搭桥术治疗复杂颅内动脉瘤的技术特点和手术策略,并对新发展的技术进行总结,以期促进颅内-颅内血管搭桥术的临床应用。Intracranial-intracranial bypass is a crucial treatment for complex intracranial aneurysms,as it not only achieves aneurysm eradication but also ensures perfusion to the bypassed vascular territory.To ensure bypass vessels patency and postoperative neurological recovery in patients with aneurysm,it is necessary to consider multiple characteristics of the aneurysm,donor artery and recipient artery.This comprehensive evaluation enables the selection of appropriate surgical decisions and bypass techniques.In recent years,with the advancement of intracranial-intracranial bypass,several new options including donor artery and recipient artery,anastomosis techniques,graft vessels,and auxiliary techniques have been added for neurosurgeons to choose from.This review aims to introduce the technical advances,surgical experience of intracranial-intracranial bypass for complex intracranial aneurysms,with the intention of facilitating clinical application of intracranial-intracranial bypass.

关 键 词：颅内动脉瘤 脑血管重建术 综述 

分 类 号：R651.12[医药卫生—外科学]