颅底动脉与Willis环的解剖立体影像学特征研究.pdfVIP

脑动脉瘤 颅底动脉和Willis环的解剖立体影像学特征研究 杨华刘健王景传韩国强高方友康朝胜王洪正张静华 贵阳医学院附属医院神经外科550004 摘要：目的观察测定颅底动脉的内径、各主要动脉之间所构成的角度和颈内动脉(ICA)解剖三维 影像特征(3D特征)以及Willis环的变异情况。方法对30具福尔马林固定的成人湿尸头的颅底动脉进 行乳胶灌注后解剖观察和测定。同时对62例脑血管病(CVD)患者ICA及其分支的3D特征进行观察和分 20．0％)；前后型2具(占6．7％)。结论颅底动脉内径的测量值有助于EVT中各种导管的选择；颅底各主 于降低EVT的并发症和判断预后。 关键词：颅底动脉；解剖；血管造影；脑血管病；血管内治疗 Anatomicalandthreedimensionalcharacteristic study image ofDasicramlanWillisWilliS analv；isbasicrani’arter】andartery YANG Hua,LIUJian,WANG Chuangxi，SUNYezhong，HANGuoqiang， Jingchuan,LIU GAO Jinghua． Fangyou,KANGChaosheng，WANGHongzheng,ZHANG of of Medical 550004，China DepartmentNeurosurgery,AffdiatedHospitalGuiyang University，Guiyang Abstract Toobserveandmeasuretheinsidediameterofbasicranil of artery，the Objective angulation andthe main threedimensionalchraterisficofinternalcarotidarteries anatomical arteries．the image were withlatex variationofWilliscircle．Methods．11learteriesof30formalin-fixedadultheads injected after arteries andmeasured．Thethree whichthecaliberandcharacteristicofcerebral we陀observed dimensionalchrateristicofinternalcarotidarteriesanditsbrancheswe坨measured3D—DSA． image using ofinternalcarotid 5．12+1．48ram；Right Results(1)Mainarterycaliber：origin artery(Left 5．11±1．42mm)； of ofanteriorcerebral mi