颅内外血管吻合术治疗缺血性脑血管病的研究进展

外科研究与新技术 ›› 2013, Vol. 2 ›› Issue (1): 45-48.

颅内外血管吻合术治疗缺血性脑血管病的研究进展

余飞, 吴一芳, 苏少华(综述), 海舰(审校)

同济大学附属同济医院神经外科,上海 200065

出版日期:2013-03-28 发布日期:2013-01-25
通讯作者: 海舰,主任医师,博士生导师,研究脑血管疾病基础及临床研究。E-mail:haijian@yahoo.com.cn.
作者简介:余飞(1987-)男, 安徽人, 硕士在读, 研究缺血性脑血管疾病。

Progress in research on extra-intracranial arterial bypass for ischemic cerebrovascular disease

YU Fei, WU Yi-fang, SU Shao-hua, HAI Jian

Department of Neurosurgery,Tongji Hospital,Tongji University School of medicvne,Shanghai 200065, China

Online:2013-03-28 Published:2013-01-25

摘要/Abstract

摘要： 颅内外血管重建术目前已经被广泛用于缺血性脑血管疾病、烟雾病、颅内动脉瘤及颅内肿瘤的治疗。文章重点针对缺血性脑血管病,从血流动力学、病理生理学基础、颅内外血管重建手术方式及适应症等方面的最新进展进行综述。

关键词: 颅内外血管重建术, 缺血性脑血管病, 血流动力学

Abstract: Extracranial-intracranial arterial bypass has been widely used in the management of ischemic cerebrovascular disease,moyamoya disease,intracranial aneurysms and brain tumors.This article focuses on its application in ischemic cerebrovascular disease,and reviews it from the aspect of cerebral hemodynamics of ischemic cerebrovascular disease,pathophysiological basis,and operating modes,etc.

Key words: Intracranial and extracranial bypass, Ischemic cerebrovascular disease, Hemodynamics

中图分类号:

R743

余飞, 吴一芳, 苏少华, 海舰. 颅内外血管吻合术治疗缺血性脑血管病的研究进展[J]. 外科研究与新技术, 2013, 2(1): 45-48.

YU Fei, WU Yi-fang, SU Shao-hua, HAI Jian. Progress in research on extra-intracranial arterial bypass for ischemic cerebrovascular disease[J]. 外科研究与新技术, 2013, 2(1): 45-48.

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(上接第6页)
搭桥对颅内动脉闭塞患者的2年内卒中再发无预防作用,而停止研究。间接颅内外血管重建可有效避免临时阻断颅内血管导致脑缺血,缺血脑组织可按需进行血管重建,临床效果值得期待^[7]。
6 展望
缺血性脑血管疾病的发病率呈逐年上升趋势,积极探讨缺血性脑血管病的防治已成为医学上亟待解决的难题。随着神经影像学和脑血流评估方法的不断改进,积极控制缺血性脑血管疾病发生的风险因素,规范颅内外血管重建的手术技术和病例选择,相信在不久的将来,会有更多的脑血管疾病患者受益于颅内外血管重建技术,减少或避免脑血管事件的再发,提高社会人群的生活质量。
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