杩�6鏉′互浜哄悕鍛藉悕绁炵粡琛€绠★紝閲嶈涓旈毦璁帮紝浣犳帉鎻′簡鍚楋紵

銆€銆€浣滀负绁炵粡鍐呯鐨勫尰鐢燂紝鎴戜滑鍦ㄥ涔犵缁忚绠¤В鍓栧拰闃呰鏂囩尞鏃讹紝缁忓父浼氱鍒颁竴浜涚壒娈婄殑瑙ｅ墫鍛藉悕锛岃繖浜涚粨鏋勫線寰€浠ヤ竴浜涘尰瀛﹀鐨勫悕瀛楀懡鍚嶏紝寰€寰€鏈夌潃閲嶅ぇ鐨勪复搴婃剰涔夈€傝鎴戜滑鏉ユ€荤粨涓€涓嬪父瑙佺殑绁炵粡琛€绠¤В鍓栵紝浜嗚В鍏朵复搴婃剰涔夈€�

銆€銆€1 Willis鐜�

銆€銆€绗竴涓綋璁瞁illis鐜紝杩欐槸澶у鏈€鏃╁涔犺剳琛€绠¤В鍓栨帴瑙︾殑涓€涓渶鍩烘湰鐨勮В鍓栨蹇点€�

銆€銆€Thomas Willis 锛�1621-1675骞达級锛岃嫳鍥藉唴绉戝尰甯堛€佽В鍓栧瀹躲€佺敓鐞嗗瀹讹紝棣栨鎻忚堪鍜屽懡鍚嶄簡棰呭簳鐨勫姩鑴夌幆锛屽悗绉颁箣涓篧illis鐜紝鐢卞墠浜ら€氬姩鑴夈€佷袱渚уぇ鑴戝墠鍔ㄨ剦濮嬫銆佷袱渚ч鍐呭姩鑴夋湯娈点€佷袱渚у悗浜ら€氬姩鑴夊拰涓や晶澶ц剳鍚庡姩鑴夊娈电浉浜掕鎺ュ惢鍚堣€屾垚銆�

銆€銆€涓村簥鎰忎箟锛�

銆€銆€Wills鏄剳寰幆鐨勪竴绾т晶鏋濆惊鐜紝鍓嶄氦閫氬姩鑴夎繛鎺ヤ簡涓や晶澶ц剳鍗婄悆鐨勮渚涳紝鍚庝氦閫氬姩鑴夎繛鎺ヤ簡鍓嶅悗寰幆鐨勮渚涖€俉illis鐜彲浠ュ渚涘簲鑴戠粍缁囩殑鍔ㄨ剦杩涜琛€娑茶皟閰嶏紝闃叉鑴戣娑插惊鐜殑杩囧害鐏屾敞鎴栦笉瓒炽€傚綋鏌愪竴渚涜鍔ㄨ剦琛€绠″彂鐢熺梾鍙樻椂锛屽彲涓€瀹氱▼搴﹂€氳繃澶ц剳鍔ㄨ剦鐜娇琛€娑查噸鏂板垎閰嶅拰浠ｅ伩锛屼互缁存寔鑴戠殑琛€娑蹭緵搴旓紱

銆€銆€Wills鐜绠′氦鐣屽尯鏄姩鑴夌槫濂藉彂閮ㄤ綅锛�

銆€銆€Willis鐜瓨鍦ㄥ彉寮傘€�

銆€銆€2 Heubner鍥炶繑鍔ㄨ剦

銆€銆€Johann Otto Leonhardt Heubner (1843-1926骞�)锛屽痉鍥藉効绉戝厛椹憋紝棣栨鎻忚堪浜嗗洖杩斿姩鑴夛紙璧锋簮浜庡ぇ鑴戝墠A2娈碉級銆�

銆€銆€heubner鍔ㄨ剦涓烘渶澶х殑鍐呬晶璞嗙汗鍔ㄨ剦锛屽父璧锋簮浜庡ぇ鑴戝墠A2娈碉紝鐒跺悗鍚慉1鐨勮繎绔蛋琛岋紝鏁呯О涓哄洖杩斿姩鑴夈€備富瑕佷緵搴旀繁閮ㄧ殑缁撴瀯锛屽寘鎷熬鐘舵牳澶寸殑鍓嶄笅閮ㄣ€佽眴鐘舵牳鍓嶄笅閮ㄣ€佸唴鍥婂墠鑲㈢瓑銆�

銆€銆€涓村簥鎰忎箟锛�

銆€銆€绁炵粡澶栫鍓嶄氦閫氬姩鑴夌槫鎵嬫湳鐨勮В鍓栨爣蹇楋紱

銆€銆€閲嶈鐨勭┛鏀绠★紝闂浼氬鑷村渚ч潰閮ㄥ強涓婅偄涓轰富鐨勭槴鐥€佽垶韫堢棁绛夛紝鍙屼晶姊楁鍙鑷存棤鍔ㄦ€х紕榛橈紙瀛樺湪鍗曚晶鍥炶繑鍔ㄨ剦渚涘簲鍙屼晶鎯呭喌锛夛紱

銆€銆€鍏惰捣濮嬮儴浣嶅拰琛岀▼锛屼緵琛€鍖哄煙涔熸湁杈冨ぇ鐨勫彉寮傘€�

銆€銆€3 Percheron鍔ㄨ剦

銆€銆€Gerard Percheron (1930-2011骞�)娉曞浗钁楀悕鐨勭缁忕梾瀛︿笓瀹讹紝涓昏鐮旂┒鍩哄簳鑺傜殑琛€绠¤В鍓栵紝灏ゅ叾瀵逛笜鑴戠殑琛€渚涘仛浜嗗ぇ閲忕爺绌讹紝鎻愬嚭浜嗕复搴婁笂鐨勫洓绉峆ercheron鍙樺紓銆�

銆€銆€涓樿剳鏃佹涓尯鍩熶富瑕佺敱鏉ヨ嚜澶ц剳鍚庡姩鑴夌殑涓樿剳绌块€氬姩鑴変緵琛€銆侾ercheron鍔ㄨ剦鎸囧崟渚т紭鍔夸笜鑴戠┛閫氬姩鑴変緵搴斿弻渚т笜鑴戝彉寮傦紝鏈夋椂鍙戝嚭绾㈡牳绌挎敮锛堜腑鑴戜笂绔梺姝ｄ腑绌挎敮锛夊悓鏃朵緵搴斾腑鑴戜笂绔€�

銆€銆€涓村簥鎰忎箟锛�

銆€銆€閲嶈鐨勮剼灏栫獫绌挎敮琛€绠″彉寮傦紝姊楁鍙€犳垚鍙屼晶姊楁锛屼复搴婅〃鐜颁富瑕佷负鍨傜洿鍑濊楹荤椆锛屾剰璇嗛殰纰嶏紝璁板繂闅滅绛夛紝褰卞儚瀛︽彁绀哄弻渚т笜鑴戜即鎴栦笉浼翠腑鑴慥鍨嬫姝汇€�

銆€銆€4 Adamkiewicz鍔ㄨ剦

銆€銆€Albert Wojciech Adamkiewicz (1850-1921骞�)锛屾尝鍏拌憲鍚嶇梾鐞嗗瀹讹紝涓昏鐮旂┒涓灑绁炵粡绯荤粺鐥呯悊銆傞娆℃弿杩颁簡鑴婇珦鏈€澶х殑鍓嶈窡楂撳姩鑴夛紝琚О涓篈damkiewicz鍔ㄨ剦銆�

銆€銆€鑴婇珦琛€渚涗富瑕侀潬涓夋潯绾靛悜鐨勫姩鑴夛紙澶氭潯妯悜鐨勬牴楂撳姩鑴夊姞鍏ワ級渚涘簲锛屽寘鎷�1鏉¤剨楂撳墠鍔ㄨ剦锛圓SA锛夊拰2鏉¤剨楂撳悗鍔ㄨ剦锛圥SA锛夌旱琛岃绠＄綉銆傝剨楂撳墠鍔ㄨ剦渚涘簲鑴婇珦鍓�2/3锛岃剨楂撳悗鍔ㄨ剦渚涘簲鍚�1/3銆�

銆€銆€鑴婇珦鐨勮渚涙潵婧愬垎涓轰袱涓細涓€鏄鍔ㄨ剦鏉ユ簮锛岀洿鎺ュ彂鍑篈SA鍜孭SA锛屼簩鏄妭娈佃绠★紙鏍瑰姩鑴夛級鏉ユ簮锛岄儴鍒嗘牴鍔ㄨ剦涓嶢SA鍜孭SA褰㈡垚鍙戝崱鏍疯繛鎺ワ紙妞庡姩鑴夊彂鍑虹殑ASA鍜孭SA鍦ㄤ笅琛岃繃绋嬩腑锛屼笉鏂緱鍒伴銆佽兏鍜岃叞閮ㄥ姩鑴夊彂鍑虹殑鑺傛鎬у姩鑴夊垎鏀殑琛ュ厖銆�31 瀵规牴鍔ㄨ剦瀵瑰簲鑴婇珦鑺傛锛屼絾渚涘吇鑴婇珦鐨勬暟閲忓苟涓嶅锛岀粷澶у鏁版浜庣缁忔牴銆佺‖鑶滄垨杞啘涓涙牴鍔ㄨ剦锛夈€�

銆€銆€鑺傛琛€绠″張鍙ぇ鑷村垎涓轰笁缁勶細棰堟鐨勮妭娈佃绠★紙鏍瑰姩鑴夛級涓昏鐢遍攣楠ㄤ笅鍔ㄨ剦鐨勫垎鏀彂鍑猴紝鑳告鐨勪富瑕佺敱鑳镐富鍔ㄨ剦鐨勮倠闂村姩鑴夊彂鍑猴紝鑵伴娈典富瑕佺敱鑵逛富鍔ㄨ剦鍜岄珎鍐呭姩鑴夊垎鏀彂鍑恒€�

銆€銆€鏈€鍚庢牴鍔ㄨ剦鏍规嵁鍒嗗竷绫诲瀷鍒嗕负涓夌锛氫竴绉嶄緵搴旂缁忔牴鍜岀‖鑴婅啘锛屼竴绉嶄緵搴旇蒋鑶滃拰鑴婇珦鍛ㄨ竟锛屼竴绉嶄緵搴旇剨楂擄紝渚涘簲鑴婇珦鐨勬牴鍔ㄨ剦鍔犲叆鑴婇珦鍓嶅悗鍔ㄨ剦锛堬紝杩欑琚О涓烘牴楂撳姩鑴夈€傚叾涓渶澶х殑鍓嶆牴楂撳姩鑴夎绉颁负Adamkiewicz鍔ㄨ剦锛堝鍦═8-L3鑺傛鍙戝嚭锛夈€�

銆€銆€涓村簥鎰忎箟锛�

銆€銆€閫氬父Adamkiewicz鍔ㄨ剦鏄笅鑳告鍜岃叞楠舵鑵逛晶鐨勫敮涓€渚涚粰鏉ユ簮銆�

銆€銆€闅忕潃琛€绠¤厰鍐呮妧鏈殑鍙戝睍锛岃兏涓诲姩鑴夊す灞傛垨鑳歌吂涓诲姩鑴夌槫绛夊ぇ琛€绠＄梾鍙橈紝瓒婃潵瓒婂閲囩敤瑕嗚啘鏀灦鑵斿唴闅旂粷鏈紝瑕嗚啘鏀灦闃绘柇鏉ヨ嚜Adamkiewicz鍔ㄨ剦鐨勮渚涘鑷磋剨楂撴姝汇€佹埅鐦紝鏄厰鍐呮不鐤楁绫荤柧鐥呯殑涓ラ噸骞跺彂鐥囦箣涓€銆�

銆€銆€5 Galen闈欒剦

銆€銆€Galen of Pergamum鐢熶簬鍦熻€冲叾锛屾槸褰撴椂钁楀悕鐨勫尰瀛﹀锛屽摬瀛﹀锛岄娆℃弿杩拌绠￠噷濉厖鐨勮娑茶€屼笉鏄┖姘旓紙褰撴椂鐨勭悊璁鸿涓鸿绠￠噷娴佸姩鐨勬槸绌烘皵锛夈€�

銆€銆€Galen 闈欒剦鍗冲ぇ鑴戝ぇ闈欒剦锛岀敱涓や晶澶ц剳鍐呴潤鑴夊悎鎴� 锛屼富瑕佸紩娴佽剳娣遍儴鍖哄煙姣斿鍩哄簳鑺傦紝涓樿剳绛夎娑层€侴alen闈欒剦鍦ㄦ帴鍙楀熀搴曢潤鑴夛紙Rosenthal 闈欒剦锛夊悗娉ㄥ叆鐩寸銆�

銆€銆€涓村簥鎰忎箟锛�

銆€銆€Galen闈欒剦琛€鏍撲互鍙屼晶涓樿剳鍙楁崯涓轰富锛屼富瑕佽〃鐜颁负鎰忚瘑闅滅锛屼即鎴栦笉浼村叾浠栫缁忓姛鑳界己鎹熺棁鐘讹紱

銆€銆€Galen闈欒剦鍔ㄨ剦鐦ゆ牱鐣稿舰锛屽父瑙佷簬鏂扮敓鍎垮拰濠村辜鍎匡紝鑷存畫鐜囧拰姝讳骸鐜囪緝楂橈紝鏈夎剳绉按锛岄楂樺帇绛夎〃鐜般€傛墍鏈夋偅鍎垮潎鏈夊績鍔涜“绔〃鐜般€�

銆€銆€6 Labbe闈欒剦

銆€銆€Charles Labb茅 (1851-1889骞�)娉曞浗鍖诲瀹讹紝鎻忚堪浜嗗悇绉嶅悇鏍风殑鑴戦潤鑴夎繛鎺ワ紝鍖呮嫭涓嬪惢鍚堥潤鑴夛紝鐜板湪浠ヤ粬鐨勫悕瀛楀懡鍚嶏紝绉颁负labbe锛堟媺璐濇皬锛夐潤鑴夈€�

銆€銆€璇ラ潤鑴夋寚棰炲彾琛ㄩ潰鐨川鏈€绮楀ぇ鐨勫紩娴侀潤鑴夛紝涓昏鏀堕泦棰炲墠锛岄涓紝棰炲渚х殑琛€娑诧紝鍏跺彈鎹熸垨闂鍙鑷村紩娴佸尯鍩燂紙棰炲彾锛夎偪鑳€锛岄潤鑴夋€ф姝伙紝鍑鸿绛夋敼鍙橈紝涓ラ噸绋嬪害鍙栧喅浜庢崯浼ょ▼搴﹀拰鍏朵晶鏋濄€備复搴婂彲琛ㄧ幇涓哄け璇紝鍋忕槴锛屽ご鐥涖€佹剰璇嗕抚澶辩瓑棰呴珮鍘嬬棁鐘躲€�

銆€銆€涓村簥鎰忎箟锛�

銆€銆€閮ㄥ垎楂樺嚌鐘舵€侀闄╃殑浜虹兢鍙彂鐢熷绔嬬殑labbe闈欒剦琛€鏍擄紱

銆€銆€鑴戞尗瑁備激甯搁€犳垚labbe闈欒剦鎹熶激锛屾湁閫犳垚棰炲彾鍑鸿鍜岃剳姘磋偪鐨勫悗鏋滐紱

銆€銆€绁炵粡澶栫鎵嬫湳棰炰笅鍏ヨ矾鏃惰瀵硅闈欒剦鍔犲己淇濇姢銆�

銆€銆€寤鸿澶у鏀惰棌杩欑瘒鏂囩珷锛屽彲浠ラ殢鏃跺涔犮€�

銆€銆€Reference锛�

銆€銆€[1]缁村熀鐧剧 Willis鐜�

銆€銆€[2]绉﹂洩锛� 浣曞織涔夛紝 鏉庤暰锛� et al. 10渚婬eubner鍥炶繑鍔ㄨ剦姊楁鐨勪复搴婂強绁炵粡褰卞儚瀛﹀垎鏋怺J]. 涓涓庣缁忕柧鐥呮潅蹇楋紝 028(1)锛�29-32.

銆€銆€[3]Lazzaro N A 锛� Wright B 锛� Castillo M 锛� et al. Artery of Percheron Infarction锛� Imaging Patterns and Clinical Spectrum[J]. American Journal of Neuroradiology锛� 2010锛� 31(7)锛�1283-1289.

銆€銆€[4]Melissano G锛�  Bertoglio L锛�  Rinaldi E锛�  Leopardi M锛�  Chiesa R锛岋紝An鈥俛natomical鈥俽eview鈥俹f鈥俿pinal鈥俢ord鈥俠lood鈥俿upply.J Cardiovasc Surg (Torino) 2015 Oct;56(5)

銆€銆€[5]Jee锛� R.-C锛� Lin锛� S.-H. Teaching NeuroImages锛� Reversible bilateral thalamic lesions in vein of Galen thrombosis[J]. Neurology锛� 73(12)锛歟57-e5

銆€銆€[6]椹疂鍚涳紝 寮犳瘏锛� 铏炴槉锛� et al. Labbe闈欒剦鐨凞SA褰卞儚瀛︾爺绌跺強涓村簥鎰忎箟[J]. 瀹炵敤涓村簥鍖昏嵂鏉傚織锛� 2013.

銆€銆€[7]The Radiology Assistant 锛� Cerebral Venous Thrombosis https锛�//radiologyassistant.nl/neuroradiology/cerebral-venous-thrombosis

銆€銆€[8]Wong H T 锛� Rowland-Hill C 锛� Gooriah R . Vein of Labb茅 thrombosis锛� don鈥檛 miss the dot锛乕J]. Practical Neurology锛� 2019锛� 19(6)锛�541-.