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颈内动脉系的动脉瘤即Willis’s环前半部的动脉瘤,近几年在外科治疗方面进展很快,但椎基动脉瘤的治疗国内仅见少数个案报道。本文收集了近几年主要文献予以综述,供同道们借鉴。 一、手术治疗概况 1.手术的必要性:Youmans总结三组共11768例颅内动脉瘤,指出椎基动脉瘤的发生率占总数的5～10％。由于蛛网膜下腔出血(SAH)病人用股动脉插管全脑血管造影检查方法的普及,椎基动脉瘤的发现率有增加趋势。其手术治疗的主要目
Aneurysms of the internal carotid artery, aneurysms of the first half of Willis’s ring, have progressed rapidly in recent years in surgical treatment, but only a few cases of vertebral-based aneurysms have been reported in China. This article collected the main literature in recent years to be reviewed for reference to the fellow. First, the overview of surgical treatment 1. Necessity of surgery: Youmans summary of three groups of a total of 11768 cases of intracranial aneurysms, vertebral aneurysms pointed out that the incidence of 5 to 10% of the total. The prevalence of vertebral-based aneurysms has been increasing due to the popularity of the femoral arterial cannulation-based cerebral angiography in patients with subarachnoid hemorrhage (SAH). The main purpose of its surgical treatment