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,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,C,*,Click to edit Master title style,Company,LOGO,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,脑血管解剖及DSA,阅片解读,脑血管解剖及DSA阅片解读,C,一.脑动脉系统,颈内动脉系,椎,-,基底动脉系,2,C一.脑动脉系统颈内动脉系椎-基底动脉系2,C,Bouthillier,分段（七分段法）,3,CBouthillier分段（七分段法）3,C,Bouthillier,七分法,C1,段（颈动脉球段,）,C1,段（颈段）,C2,段（岩段）,C3,段（破裂孔段）,C4,段（海绵窦段）,C5,段（床突段）,C6,段（眼段）,C7,段（交通段）,4,CBouthillier七分法 C1段（颈动脉球段,C,颈内动脉分段（DSA）及主要分支,A,B,C,D,E,F,A 眼动脉,B 大脑前动脉,C 大脑中动脉,D 脉络膜前动脉,E 后交通动脉,F 颈内动脉,5,C颈内动脉分段（DSA）及主要分支ABCDEFA 眼动脉5,C,大脑中动脉分支,6,C大脑中动脉分支6,C,大脑中动脉分段,(,Fischer,分类法,),M1,段,，眶后段（水平段）；,M2,段,，岛叶段（回旋段、环绕段），发出颞前动脉，呈“,U”,形；,M3,段,，外侧沟段，为,M2,基部发出向中央 沟上升的升动脉；,M4,段,，分叉段，发出顶后动脉、角回动脉和 颞后动脉处；,M5,段,，亦称终末支，即角回动脉。,M2+M4+M5,称大脑外侧沟动脉组。,7,C大脑中动脉分段(Fischer 分类法)M1 段，眶后,C,大脑前动脉分支,8,C大脑前动脉分支8,C,大脑前动脉分段,(,Fischer,分类法,),A1,段,，水平段,A2,段,，垂直段,A3,段,，膝段,A4,段,，胼周段,A5,段,，终段,9,C大脑前动脉分段(Fischer 分类法)A1 段，水平段9,C,椎基底动脉,大脑后,A,基底,A,basilar a,椎,A,vertebral a,大脑后,A,10,C椎基底动脉大脑后A基底A椎A大脑后A10,C,椎动脉分段,椎动脉（,VA,）,V1,（骨外）段：向上进,C6,横突孔。,V2,（椎间孔段,V3,（脊椎外）段：,V4,（硬膜内段）：近侧椎动脉段解剖（,A,侧位；,B,前后位；,C,颏顶位）：,1.骨外段（,V1,）,2.横突孔段（,V2,）,3.椎外段（,V3,）,4.,硬膜内段（,V4,）,5.,枕骨髁的大概位置,图,A,：斜侧位观；图,B,：前后位观；图,C,：俯观。,11,C椎动脉分段椎动脉（VA）图A：斜侧位观；图B：前后位观；图,C,大脑后动脉分支,12,C大脑后动脉分支12,C,大脑后动脉分段,P1,段,，水平段（交通 前段）；,P2,段,，纵行段（交通后段、环池段）；,P3,段,，四叠体段，为从,P2,段向外发出的颞支；,P4,段,，终段，为从,P3,段向上发出的顶枕动脉和距状沟动脉。,13,C大脑后动脉分段P1 段，水平段（交通 前段）；13,C,二.脑血管供血分布图,14,C二.脑血管供血分布图14,C,MCA,MCA,ACA,ACA,PCA,PCA,MCA,MCA,ACA,ACA,PCA,PCA,MCA,MCA,ACA,ACA,PCA,PCA,15,CMCAMCAACAACAPCAPCAMCAMCAACAAC,C,16,C16,C,17,C17,C,基底节区供血动脉及AchA梗塞,内囊后肢,外侧膝状体,18,C基底节区供血动脉及AchA梗塞内囊后肢 外侧膝状体18,C,19,C19,C,20,C20,C,21,C21,Thank You!,Thank You!,
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