开放手术和血管内治疗在脑血管神经外科领域的研究进展

Progress of open surgery and endovascular treatment in cerebrovascular neurosurgery field

脑血管神经外科是现代神经外科的重要组成部分,治疗的疾病包括颅内动脉瘤、脑和脊髓血管畸形、烟雾病、脑血管狭窄闭塞性疾病等。近年来微创化的开放手术和血管内治疗在各自领域均取得较大进展,一方面使得适于采取上述干预措施的脑血管疾病范围不断扩展;另一方面,两种治疗方式相互交叉、部分竞争,形成相互促进、互为补充的治疗体系。本文对上述进展进行综述,并探讨脑血管神经外科的发展趋势。

Cerebrovascular neurosurgery is an important part of modern neurosurgery.The main disease categories include intracranial aneurysms,brain and spinal vascular malformations,moyamoya disease,and cerebrovascular stenosis and occlusion disease.In recent years,minimally invasive open surgery and endovascular treatment have made great progress in their respective fields.On one hand,the scope of cerebrovascular diseases suitable for the interventions above has been continuously expanded;on the other hand,the two treatment methods partially overlap and inevitably interact,and therefore form a mutually reinforcing and complementary treatment system.The article reviews aforementioned progress and discusses the development trend of cerebrovascular neurosurgery.