颈内动脉分叉部复合体的解剖及其在动脉瘤夹闭术中的临床应用
Anatomy of the bifurcation complex of the internal carotid artery and its clinical application in aneurysm clipping surgery
张洪伟 1张东 2李爱民1
作者信息
- 1. 徐州医科大学附属连云港医院神经外科,连云港 222002
- 2. 北京医院神经外科,北京 100730;首都医科大学附属北京天坛医院神经外科,北京 100070
- 折叠
摘要
颈内动脉分叉部及其周围颅底间隙的解剖结构复杂,且存在一定的变异.该部发出较多分支及穿支动脉供应颅内重要结构,在部分颅内动脉瘤夹闭术中应注意保护,防止术中损伤,减少术后并发症的发生.本文首次提出了颈内动脉分叉部复合体的概念,并对颈内动脉分叉部复合体及其分支动脉血管、颅底间隙的解剖特点和变异情况以及涉及该部位动脉瘤的手术治疗进行综述,以期为临床进一步开展相关研究提供参考.
Abstract
The anatomical structure of the bifurcation of the internal carotid artery and its surrounding skull base space is complex and has certain variations.There are many branches and perforating arteries in this department that supply important intracranial structures.In some intracranial aneurysm clipping surgeries,attention should be paid to protection to prevent intraoperative damage and reduce the occurrence of postoperative complications.This article proposes the concept of the bifurcation complex of the internal carotid artery for the first time,and reviews the anatomical characteristics and variations of the bifurcation complex of the internal carotid artery and its branch arterial blood vessels,as well as the surgical treatment of aneurysms in this area,in order to provide reference for further clinical research.
关键词
颅内动脉瘤/颈内动脉分叉部复合体Key words
Intracranial aneurysm/Internal carotid artery bifurcation complex引用本文复制引用
出版年
2024
NETL
NSTL
万方数据