儿童巨大颈内动脉瘤切除并直接重建的手术治疗(附1例报道)

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患儿,男,8岁,因“右颈部搏动性肿物4年余”入第二炮兵总医院。右颌下可见约7 cm×4 cm×3 cm大小搏动性肿物,肿物上缘深入右颌下。沿颈动脉走行可触及膨胀性、搏动性肿物,压迫右颈总动脉起始部后,肿物可缩小,搏动性及张力明显减弱。CTA示右颈内动脉瘤(图1),经颅多普勒(TCD)示Wi Children, male, 8 years old, because of “right neck beating tumor more than 4 years” into the Second Artillery General Hospital. The right jaw can be seen about 7 cm × 4 cm × 3 cm size pulsating tumor, the tumor edge deep into the right mandibular. Walking along the carotid artery can reach the expansive, pulsatile tumor, oppression of the right common carotid artery at the beginning, the tumor can be reduced, pulsation and tension was significantly reduced. CTA showed right internal carotid aneurysm (Figure 1), transcranial Doppler (TCD) showed Wi
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