颞浅动脉-大脑中动脉搭桥术治疗老年闭塞性脑血管病的效果  

Effect of superficial temporal artery-middle cerebral artery bypass grafting surgery in the treatment of occlusive cerebrovascular disease in elderly

作　　者：沈建忠[1] 彭慕建[1] 王继斌[1] 

机构地区：[1]井冈山大学附属医院神经外科,江西吉安343000

出　　处：《中国当代医药》2014年第35期36-38,共3页China Modern Medicine

摘　　要：目的研究颞浅动脉-大脑中动脉搭桥术治疗老年闭塞性脑血管病的临床效果。方法收集2011年2月～2013年2月在本院治疗的老年闭塞性脑血管病患者150例,将其随机分为研究组和对照组各75例,研究组行颞浅动脉-大脑中动脉搭桥术,对照组行颞肌、颞浅动脉贴敷术。比较两组治疗前后大脑中动脉血流动力学指标,记录两组随访期间造影结果,记录治疗效果及并发症发生情况。结果与治疗前比较,研究组左右两侧治疗后收缩期血流速度、舒张期血流速度明显升高,血流阻力明显降低,差异有统计学意义（P〈0.05）。术后半年造影显示,对照组造影后变化不大,研究组颞浅动脉出现逐渐增粗的现象,且颅内显影血管亦明显增粗、增多。研究组有效率明显高于对照组,并发症发生率低于对照组,差异有统计学意义（P〈0.05）。结论颞浅动脉-大脑中动脉搭桥术治疗老年缺血性脑血管病的效果明显,可改善脑部血流,降低术后并发症,效果较显著。Objective To study the effect of superficial temporal artery-middle cerebral artery bypass grafting surgery in the treatment of occlusive cerebrovascular disease in elderly. Methods 150 cases of elderly patients with occlusive cerebrovascular disease from February 2011 to February 2011 in our hospital were collected,and were randomly divided into two research group and control group,75 cases in each group,superficial temporal artery-middle cerebral artery bypass grafting surgery was given to research group,and temporal muscle,temporal shallow artery applied technique was given to control group.The brain artery blood flow mechanics index was compared between the two groups before and after treatment,the imaging results during the follow-up period was recorded,the effect and complications were recorded.Results Compared with before treatment,systolic blood flow velocity and diastolic blood flow velocity in left and right side after treatment was increased obviously,blood flow resistance was reduced obviously,the difference was significant（P〈0.05）.After half a year,according to the imaging,control group changed little after angiography;in research group,superficial temporal artery was gradually thickened,intracranial vascular development was also significantly thickened and increased.The curative effective rate of research group was higher than that of control group,the incidence of complication was lower than that of control group,the difference was significant（P〈0.05）. Conclusion The effect of superficial temporal artery-middle cerebral artery bypass grafting surgery for the treatment of occlusive cerebrovascular disease in elderly is significant,can improve the brain blood flow,reduce the postoperative complications.

关 键 词：颞浅动脉-大脑中动脉搭桥术 闭塞性脑血管病 老年 

分 类 号：R743[医药卫生—神经病学与精神病学]