从椎动脉颅内段及基底动脉的局部解剖入手,归纳其主要变异类型,如起源异常与动脉开窗畸形的发生率。针对椎动脉颅内段及基底动脉常见病变,如延长扩张、夹层动脉瘤、动静脉瘘及动脉粥样硬化,收集近年来对以上病变新颖的影像技术、诊断方法,以及诊断经验与局限性,分析各种影像方法和检查技术的要点及诊断优势,并对非侵入性影像检查在椎动脉颅内段及基底动脉常见病变的诊断准确性、优势及展望等方面的进展予以综述。 From the intracranial segments of the vertebral artery and the basilar artery local anatomy start, sum up the main types of variation, such as the origin of abnormalities and the incidence of arterial fenestration. In view of the intracranial segments of the vertebral artery and the common lesions of the basilar artery, such as prolongation of dilation, dissection aneurysm, arteriovenous fistula and atherosclerosis, we collected novel imaging techniques, diagnostic methods, and diagnosis experiences and limitations of the above lesions in recent years. The essentials and diagnostic advantages of various imaging methods and techniques were analyzed. The progress of noninvasive imaging in diagnosing the intracranial segments of the vertebral artery and the common lesions in the basilar artery were reviewed.