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Willis氏环前部与前交通动脉瘤相关的显微解剖研究 被引量:15

Microanatomy of anterior port of arterical circle of Willis related to anterior communicating arterial aneurysms
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摘要 手术显微镜下对40例成人尸体脑的 Willis 氏环前部及其分支解剖观察。分析和讨论临床特别是前交通动脉瘤外科相关的问题。 Under operative microscope the anterior partof arterial circle of Willis was studied on 40adult cadavors,The main variation in A_1segments of anterior cerebral arteries(ACA)found to be unilateral aplasia or absence,Theperforating branches of A_1 include recurrentarteries of heubner,anterior perforatedarteriales and hypothalamic branches.Most ofthe 114 recurrent arterioles arise from thelateral wall of ACA 1-3mm near ACoA(anteriorcommunicating artery).We classified thearterial course into 6 types,Most of theanterior perforated arteries arise from theposterior superior wall of lateral 2/3 of A_1.There are few branches in the initial 3-5mm.part of A_1.ACoA could be classified as simpleand complicated types,locating in thesuperior,anterior or lateral of the oppticchasma respctively,there are constantforating branches over ACoA.It should becarefully treated during operation of anteriorcommunicating arterial aneurvsms
出处 《中华神经外科杂志》 CSCD 北大核心 1991年第4期255-258,I009,共5页 Chinese Journal of Neurosurgery
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