脑血流动力学变化对颅内动脉瘤形成的影响——36例颈动脉结扎术后造影随访研究

被引：15

作者：

唐文渊

李明伟

机构：

[1] 重庆医科大学附一院神经外科

来源：

中华神经外科杂志 | 1992年 / 03期

关键词：

颅内动脉瘤; 脑血流动力学;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

本文对36例颈动脉结扎术或孤立术治疗的颅内动脉瘤和颈内动脉海绵窦瘘患者于术后4～11年进行结扎对侧的颈动脉造影随访,其中 7例发现新生动脉瘤,发病率为 19％,显著高于一般颅内动脉瘤的发病率。本组新生动脉瘤皆位于结扎对侧颈内动脉后交通动脉起始部(ICA)。而全部病例曾于颈动脉结扎术前行双侧颈动脉造影,未发现该侧有动脉瘤迹象。随访结果表明:一侧颈动脉结扎可诱发对侧颅内动脉瘤,大多在术后7～10年出现,从临床上进一步说明,脑血流动力学变化对颅内动脉瘤形成有重要影响。

引用

页码：24 / 26+80

页数：4

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