颞浅动脉-大脑中动脉搭桥联合颞肌贴敷术治疗成人烟雾病的临床分析  

Clinical effects of superficial temporal artery-middle cerebral artery bypass combined encephalo-myo-synagiosis on adult Moyamoya disease

作　　者：杨彦昊[1] 李宏宇[1] 关振斌 

机构地区：[1]吉林省脑科医院神经外科,四平市136000

出　　处：《临床神经外科杂志》2014年第1期61-63,共3页Journal of Clinical Neurosurgery

摘　　要：目的采用Rankin score(mRS)评分及对照研究对成人烟雾病患者采用颞浅动脉-大脑中动脉搭桥术(STA-MCA)的临床治疗效果进行分析评价。方法 23例烟雾病患者,采用颞浅动脉-大脑中动脉搭桥联合颞肌贴敷术(STA-MCA-EMS)进行治疗,应用改良mRS评分对手术前1d、手术后1周及手术后3月的神经系统功能进行评价分析。结果 23例患者并发症发生率为0,术后临床症状均有缓解;3例行双侧STA-MCA-EMS,20例为单侧手术;术后以MRA及CTA评估吻合口情况,通畅性均改善良好。手术前1 d、手术后1周、手术后3月的mRS评分分别为3.04±1.35分、2.89±1.64分、1.39±1.52分,术前1 d与术后1周的mRS评分无统计学差异,手术前1 d与术后3 m mRS评分统计学差异有显著性,术后1周与术后3月mRS评分统计学差异有显著性。全组病死率为0。结论 STA-MCA-EDAS是治疗成人烟雾病的有效方法。Objective To discuss the clinical effects of superficial temporal artery-middle cerebral artery bypass （STA-MCA） on adult Moyamoya disease （MMD）.Methods 23 patients diagnosed as MMD were treated with STA-MCA combined encephalo-myo-synagiosis （EMS）.Modified Rankin Scale （mRS） was applied to analysis the therapeutic effects.Results The post-operation complications of STA-MCA-EMS on Moyamoya disease were 0 and the therapeutic effective power was appearance in all patients and fatality was 0.MRA and CTA were applied to assess the vascular anastomotic stoma.The anastomotic stomas were all improved.The outcomes of mRS showed that the neurological functions at the 3rd month post-operation were significant improved comparing with the 1st day and the 1 st week.Conclusion STA-MCA-EMS was effective to treat MMD.

关 键 词：烟雾病 颞浅动脉-大脑中动脉搭桥 颞肌贴敷术 治疗 

分 类 号：R651.1[医药卫生—外科学]