๐ง ๅไบค้ๅ่ใจA2ๅ้ ญ่ๅ่ใฎ่ค้ใชๅ่็คใฎๆ่ก
่ณๅ่็คใฏใ่ณๅ ใฎๅ่ใ็ฐๅธธใซ่จใใ็ถๆ ใงใใใ็นใซๅไบค้ๅ่๏ผACoA๏ผใA2ๅ้ ญ่ๅ่๏ผACA๏ผใฎๅ่็คใฏใๆ่กใๅฟ ่ฆใชๅ ดๅใใใใพใใใใใใฎๅ่็คใฏใ่ค้ใชๅฝข็ถใๆใคใใจใๅคใใๆ่กใฎ้ฃๆๅบฆใ้ซใใใจใ็ฅใใใฆใใพใใๆ่ฟใฎ็ ็ฉถใงใฏใใใคใใญใณใฟใซ้ๆฅใขใใญใผใใ็จใใๆ่กใๆณจ็ฎใใใฆใใพใใๆฌ่จไบใงใฏใๅไบค้ๅ่ใจA2ๅ้ ญ่ๅ่ใฎ่ค้ใชๅ่็คใซๅฏพใใใใฎๆ่กๆนๆณใฎๆๆใซใคใใฆ่ฉณใใ่งฃ่ชฌใใพใใ
๐ ็ ็ฉถๆฆ่ฆ
ๆฌ็ ็ฉถใฏใ2005ๅนดใใ2024ๅนดใฎ้ใซใใใคใใญใณใฟใซ้ๆฅใขใใญใผใใ็จใใฆๆฒป็ใใใๅไบค้ๅ่ใใใณA2ๅ้ ญ่ๅ่ใฎๅ่็คใซใคใใฆใฎ่ชฟๆปใงใใใใฎใขใใญใผใใฏใๅ่็คใฎ้ฒๅบใๆนๅใใๅฟ ่ฆใซๅฟใใฆใใคใในๆ่กใ่กใใใใซ้ธๆใใใพใใใ็ ็ฉถใงใฏใๆ่กๆ่กใจ้ทๆ็ใช็ตๆใ่ฉไพกใใพใใใ
๐ ๏ธ ๆนๆณ
็ ็ฉถใใผใ ใฏใใใคใใญใณใฟใซ้ๆฅใขใใญใผใใ็จใใฆๆฒป็ใใใๅ่็คใฎๆฃ่ 30ๅใๅฏพ่ฑกใซใ่จๅบใใผใฟใๆพๅฐ็ทใใผใฟใๅ้ใใพใใใๆ่กๅพใฎๅ่็คใฎ้ๅก็ใใใคใในใฎ้้็ใๆฉ่ฝ็็ตๆ๏ผไฟฎๆญฃRankinในใฑใผใซ[mRS]ในใณใข๏ผใใใใณๅไฝต็ใฎ็บ็ใ่ฉไพกใใพใใใ
๐ ไธปใชใใคใณใ
| ้ ็ฎ | ็ตๆ |
|---|---|
| ๅฏพ่ฑกๆฃ่ ๆฐ | 30ๅ |
| ๅ่็คใฎ็จฎ้ก | ACoA: 25 (83.3%), A2-ACA: 5 (16.7%) |
| ใใคใในๆ่กๅฎๆฝ็ | 53% (16/30) |
| ๅ่็ค้ๅก็ | 90% |
| ใใคใในใฎๅณๆ้้็ | 100% |
| ้ทๆ็ใใคใใน้้็ | 87.5% (7/8) |
| ่กๅพ่ณๅไธญ็บ็็ | 6.7% (2/30) |
๐งฉ ่ๅฏ
ใใคใใญใณใฟใซ้ๆฅใขใใญใผใใฏใๅคงๅใใใณๅทจๅคงใชๅไบค้ๅ่ๅ่็คใฎ้ฒๅบใๅฏ่ฝใซใใใใคใในๅ่ก่กๅๅปบใฎใใใฎๆ่ก็ต่ทฏใๆไพใใพใใใใฎใขใใญใผใใฎ็ตๆใฏ้ๅธธใซ่ฏๅฅฝใงใๅ่็คใฎๅ็บ็ใๅไฝต็ใฎ็บ็็ใไฝใใใจใ็คบใใใพใใใ็นใซใ่กๅพใฎใใคใในใฎ้้็ใ้ซใใใจใฏใๆ่กใฎๆๅใ็คบใ้่ฆใชๆๆจใงใใ
๐ก ๅฎ็ๆดปใขใใใคใน
- ่ณๅ่็คใฎใชในใฏ่ฆๅ ๏ผ้ซ่กๅงใๅซ็ ใชใฉ๏ผใ็่งฃใใ็ๆดป็ฟๆ ฃใ่ฆ็ดใใ
- ๅฎๆ็ใชๅฅๅบท่จบๆญใๅใใ่ณใฎๅฅๅบท็ถๆ ใ็ขบ่ชใใใ
- ่ณๅ่็คใฎๅฎถๆๆญดใใใๅ ดๅใฏใๅฐ้ๅปใซ็ธ่ซใใใ
- ็็ถ๏ผ้ ญ็ใ่ฆๅ้ๅฎณใชใฉ๏ผใซๆณจๆใใๆฉๆใซๅป็ๆฉ้ขใๅ่จบใใใ
โ ๏ธ ้็/่ชฒ้ก
ๆฌ็ ็ฉถใฎ้็ใจใใฆใๅฏพ่ฑกๆฃ่ ๆฐใๅฐใชใใ้ทๆ็ใชใใฉใญใผใขใใใๅฟ ่ฆใช็นใๆใใใใพใใใพใใๆ่กใฎ้ฉๅฟใๆ่กใฏๅป็ๆฉ้ขใซใใฃใฆ็ฐใชใใใใไปใฎๆฝ่จญใงใฎ็ตๆใจๆฏ่ผใใใใจใ้่ฆใงใใ
ใพใจใ
ใใคใใญใณใฟใซ้ๆฅใขใใญใผใใฏใๅไบค้ๅ่ใใใณA2ๅ้ ญ่ๅ่ใฎ่ค้ใชๅ่็คใซๅฏพใใๅนๆ็ใชๆ่กๆนๆณใงใใใ่ฏๅฅฝใช้ทๆ็็ตๆใ็คบใใฆใใพใใ่ณๅ่็คใฎใชในใฏใ็่งฃใใๆฉๆใฎๅฏพ็ญใ่ฌใใใใจใ้่ฆใงใใ
๐ ้ข้ฃใชใณใฏ้
ๅ่ๆ็ฎ
| ๅ้ก | Microsurgical management of complex anterior communicating artery and proximal A2 anterior cerebral artery aneurysms by the bifrontal interhemispheric approach. |
|---|---|
| ๆฒ่ผ่ช(ๅนด) | Neurosurg Focus (2025 Dec 1) |
| DOI | doi: 10.3171/2025.9.FOCUS25777 |
| PubMed URL | https://pubmed.ncbi.nlm.nih.gov/41343778/ |
| PMID | 41343778 |
ๆธ่ชๆ ๅ ฑ
| DOI | 10.3171/2025.9.FOCUS25777 |
|---|---|
| PMID | 41343778 |
| PubMed URL | https://pubmed.ncbi.nlm.nih.gov/41343778/ |
| ็บ่กๅนด | 2025 |
| ่่ ๅ | McAvoy Malia, Shenoy Varadaraya S, Abecassis Zachary, Nistal Dominic, Chen Stephanie H, Kim Louis J, Sekhar Laligam N |
| ่่ ๆๅฑ | 1Department of Neurological Surgery, and. |
| ้่ชๅ | Neurosurgical focus |