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中华脑血管病杂志(电子版) ›› 2020, Vol. 14 ›› Issue (02) : 121 -124. doi: 10.11817/j.issn.1673-9248.2020.02.013

所属专题: 经典病例 文献

病例报告

多时间段多部位创伤性颅内假性动脉瘤一例报告并文献复习
黄锦庆1,(), 吴至武1, 刘俊1, 胡坤1, 邹敏刚1, 周华1, 唐知己1, 郭鸿华1, 黄伟龙1, 李卫1, 叶新运1, 杨瑞金1, 蒋秋华1   
  1. 1. 341001 江西省赣州市人民医院 南昌大学附属赣州医院神经外科
  • 收稿日期:2020-02-17 出版日期:2020-04-01
  • 通信作者: 黄锦庆
  • Received:2020-02-17 Published:2020-04-01
引用本文:

黄锦庆, 吴至武, 刘俊, 胡坤, 邹敏刚, 周华, 唐知己, 郭鸿华, 黄伟龙, 李卫, 叶新运, 杨瑞金, 蒋秋华. 多时间段多部位创伤性颅内假性动脉瘤一例报告并文献复习[J]. 中华脑血管病杂志(电子版), 2020, 14(02): 121-124.

图1 广泛前颅底骨折(粗白箭头)和颅内血肿(黑箭头)
图2 受伤后CT图示颅底骨折、气颅(箭头所指)
图3 受伤后CT图示颅内血肿(箭头所指)
图4 CT血管造影示颅底骨折与动脉瘤(长黑箭头示动脉瘤,粗白箭头示骨折片)
图5 术前正位CT血管造影示前交通处动脉瘤(粗白箭头) 细白箭头指骨折片
图6 术后1周复查动脉瘤完全夹闭,未见新发动脉瘤
图7 术后半年数字剪影血管造影发现右侧颈内动脉后交通动脉(细白箭头)前方有一动脉瘤(三角形箭头)
图8 术中探查动脉瘤,长黑箭头表示颈内动脉,白箭头示动脉瘤
图9 术中夹闭动脉瘤(粗白箭头),颈内动脉保留通畅(长黑箭头)
图10 术中吲哚菁緑造影显示动脉瘤完全夹闭(粗白箭头),颈内动脉稍有狭窄(长黑箭头)
图11 右侧颈内动脉动脉瘤标本病理见机化的血块以及部分纤维血管组织(苏木精-伊红染色,×40倍)
图12 右侧颈内动脉动脉瘤标本病理见机化的血块以及部分纤维血管组织(苏木精-伊红染色,×200倍)
图13 夹闭术后复查数字剪影血管造影 后交通动脉通畅(长白箭头),原动脉瘤处颈内动脉稍狭窄(三角箭头处)
图14 随访1年后CT血管造影复查示动脉瘤无复发,白箭头示前交通处,黑长箭头示后交通处
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