摘要
颅内动脉瘤破裂是引起蛛网膜下腔出血的重要原因之一。虽然显微手术夹闭和血管内栓塞是治疗颅内动脉瘤的主要方法,但对夹闭不全或栓塞不全的动脉瘤,特别是较大的主干动脉和重要穿支动脉的梭形动脉瘤,手术夹闭和栓塞治疗均存在相当大的难度和风险,外部包裹是最后的治疗选择。文章就颅内动脉瘤包裹治疗的历史、包裹技术和包裹材料的发展进行综述,并提出了研制可吸收和可降解人造生物膜包裹材料的必要性。
Ruptured cerebral aneurysm is one of the important reasons for subarachnoid hemorrhage, Although microsurgical clipping and endovascular occlusion are the primary means in the treatment of ruptured intracranial aneurysm, the intracranial aneurysms that cannot be clipped or occluded completely, particularly the fusiform aneurysms in the major arteries or the important perforating arteries, both surgical clipping or endovascular occlusion may have considerable difficulties and risks, Therefore, the external wrapping is the definitive treatment choice, The article reviews the history, the evolution of wrapping techniques and wrapping materials of intracranial aneurysms, and also points out the necessity of developing absorbable and degradable material-the wrapping material of artificial biological membrane.
出处
《国外医学（脑血管疾病分册）》
2005年第8期621-625,共5页
Foreign Medical Sciences Cerebrovascular Diseases
