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颅底肿瘤尤其是侵及颈内动脉等颅内主供血血管的肿瘤治疗一直是神经外科的难题,由于此类肿瘤与重要血管的关系密切,手术风险极大,导致治愈率底下。而颅外内血管搭桥技术通过重建颅内血运,可以有效提升此类肿瘤的全切率。本文回顾了高流量颅外内血管搭桥技术的历史进展、探讨了颅外内血管搭桥技术辅助切除颅底肿瘤的意义所在,复习文献归纳了该技术应用的适应症、术中注意事项及其疗效与争议,旨在为其临床推广应用提供更多的参考依据。熟练及合理地应用颅外内血管搭桥技术,制定个体化的治疗方案,复杂颅底肿瘤的治愈率将会得到进一步提升。
Skull base tumor, especially invade the internal carotid artery and other intracranial blood supply to the main tumor treatment has been a neurosurgical problem, due to the close relationship between such tumors and important blood vessels, the great surgical risk, resulting in the cure rate. The extracranial vascular bypass technology through the reconstruction of intracranial blood supply, can effectively improve the full rate of such tumors. This article reviews the history of high flow intracranial vascular bypass surgery and explores the significance of extracranial vascular bypass assisted resection of the skull base tumor. The review literature summarizes the indications, the precautions and their curative effect And controversy, aims to provide more reference for its clinical application. Skilled and reasonable application of extracranial vascular bypass technology, develop individualized treatment programs, the cure rate of complex skull base tumors will be further improved.