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Signs of Aneurysm Formation Learned from Rubber Balloon Inflation
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作者 Fumio Nogata Yasunari Yokota +6 位作者 Yoko Kawamura Hiroyuki Morita Yoshihiro Uno William R. Walsh Takahiko Kawamura Nigishi Hotta Kenji Kagechika 《Journal of Biosciences and Medicines》 2024年第11期556-571,共16页
Aneurysms can be classified into two main types based on their shape: saccular (spherical) and fusiform (cylindrical). In order to clarify the formation of aneurysms, we analyzed and examined the relationship between ... Aneurysms can be classified into two main types based on their shape: saccular (spherical) and fusiform (cylindrical). In order to clarify the formation of aneurysms, we analyzed and examined the relationship between external force (internal pressure) and deformation (diameter change) of a spherical model using the Neo-Hookean model, which can be used for hyperelastic materials and is similar to Hooke’s law to predict the nonlinear stress-strain behavior of materials with large deformation. For a cylindrical model, we conducted an experiment using a rubber balloon. In the spherical model, the magnitude of the internal pressure Δp value is proportional to G (modulus of rigidity) and t (thickness), and inversely proportional to R (radius of the sphere). In addition, the maximum pressure Δp (max) is reached when λ (=expanded diameter/original diameter) is approximately 1.2, and the change in diameter becomes unstable (nonlinear change) thereafter. In the cylindrical model, localized expansion occurred at λ = 1.32 (λ = 1.98 when compared to the diameter at internal pressure Δp = 0) compared to the nearby uniform diameter, followed by a sudden rapid expansion (unstable expansion jump), forming a distinct bulge, and the radial and longitudinal deformations increased with increasing Δp, leading to the rupture of the balloon. Both models have a starting point where nonlinear deformation changes (rapid expansion) occur, so quantitative observation of the artery’s shape and size is important to prevent aneurysm formation. 展开更多
关键词 Aneurysm Formation Pressure-Inflation Characteristics Elastic Instability Expansion Signs saccular and fusiform
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一次性开颅手术治疗颅内多发动脉瘤 被引量:3
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作者 高永中 马景鉴 +1 位作者 黄建军 杨树源 《中国神经精神疾病杂志》 CAS CSCD 北大核心 1994年第6期329-331,共3页
报道7例颅内多发动脉瘤。每例均有2个动脉瘤,其中13个为囊性,1个为梭形。有1例为双侧脉络膜前动脉对称性囊性动脉瘤。经单侧额颞开颅,翼点入路将全部囊性动脉瘤一次性夹闭。经术中瘤囊穿刺及术后动脉造影证实动脉瘤被完金夹闭... 报道7例颅内多发动脉瘤。每例均有2个动脉瘤,其中13个为囊性,1个为梭形。有1例为双侧脉络膜前动脉对称性囊性动脉瘤。经单侧额颞开颅,翼点入路将全部囊性动脉瘤一次性夹闭。经术中瘤囊穿刺及术后动脉造影证实动脉瘤被完金夹闭。梭形动脉瘤仅用肌肉包裹。术后病人均恢复良好,无手术死亡和重残。结合我们的病例,本文对颅内多发性动脉瘤的识别、手术时机及手术方法进行了讨论,强调有条件时,对颅内多发性动脉瘤应及时一次性手术治疗。 展开更多
关键词 多发性动脉瘤 脑外科手术 囊性 梭形 治疗
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