颅内外血管搭桥联合颞肌贴敷治疗成年人烟雾病  

Operation of superficial temporal artery -middle cerebral artery（STA -MCA）bypass combined with tem-poral muscle sticking therapy adult moyamoya disease

作　　者：周世聪[1] 潘增军[1] 李旭琴[2] 陈东[2] 张建功 

机构地区：[1]滨州市中心医院神经外科,山东省滨州251700 [2]辽宁省大连市中心医院神经外科 [3]江苏省盐城市第一医院核医学科

出　　处：《中国基层医药》2015年第12期1820-1822,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨颅内外血管搭桥（STA-MCA）联合颞肌贴敷治疗成年人烟雾病的临床效果。方法回顾性分析46例采用颅内外血管搭桥联合颞肌贴敷治疗烟雾病病例的术前评估、手术方法、术后随访资料。结果出现术后并发症5例，其中颅内出血3例，脑梗死2例。随访6～35个月，无再出血病例，1例出现脑梗死，短暂性脑缺血发作（TIA）缓解率为93．5％。术后复查单光子发射计算机断层成像术（SPECT）提示38例脑血流灌注较术前明现好转，占86．3％，数字减影血管造影（DSA）造影提示41例桥血管通畅，代偿良好，占91％。结论STA-MCA 联合颞肌贴敷治疗成年人烟雾病能明显降低脑卒中发生率，并发症少。Objective To investigate the clinical effect of operation of superficial temporal artery-middle cerebral artery（STA -MCA）bypass combined with temporal muscle sticking in the treatment of adult moyamoya disease.Methods A retrospective analysis was the data of operation,including preoperative evaluation,operation method,postoperative follow -up.Results Postoperative complications occurred in 5 cases,including 3 cases of intracranial hemorrhage,2 cases of cerebral infarction.During the follow -up of 6 -35 months,no recurrent hemor-rhage cases,1 cases of cerebral infarction,TIA remission rate was 93.5%.Postoperative cerebral blood flow of 38 cases significantly improved compared with preoperative by SPET,accounted for 86.3%.Cerebral blood flow of 41 cases was well compensated by vascular bridge,accounted for 91%.Conclusion Operation of STA -MCA bypass combined with temporal muscle sticking can significantly reduce the incidence of stroke,fewer complications,which is an ideal method in the treatment of adult moyamoya disease.

关 键 词：脑底异常血管网病 外科手术 治疗结果 

分 类 号：R743.31[医药卫生—神经病学与精神病学]