颞肌贴敷与颅内外血管搭桥联合治疗烟雾病的效果分析  

Effect analysis of combination of temporal muscle sticking and extracranial-intracranial bypass in the treatment of moyamoya disease

作　　者：桂国精 朱健明[2] 沈晓黎[2] 

机构地区：[1]江西省鹰潭市人民医院神经外科,江西鹰潭335000 [2]南昌大学第二附属医院神经外科,江西南昌330000

出　　处：《中国当代医药》2016年第25期53-55,共3页China Modern Medicine

摘　　要：目的探讨颞肌贴敷联合颅内外血管搭桥治疗烟雾病的临床效果。方法选取2013年5月~2015年6月本院确诊的40例烟雾病患者作为研究对象,根据随机数字表法分为A组和B组。A组采用颞肌贴敷手术治疗方法,B组在A组的治疗基础上联合使用颅内外血管搭桥治疗方法。随访6个月,对两组的脑血流变化进行测定,比较两组的治疗效果。结果 B组的总有效率85.0%,显著高于A组的75.0%,差异有统计学意义（P〈0.05）。B组的脑血流量、脉压差以及血流峰值显著高于A组,差异有统计学意义（P〈0.05）。结论采用颞肌贴敷联合颅内外血管搭桥治疗烟雾病能够有效改善患者的临床症状,对患者的脑血流恢复供应具有积极的效果。Objective To explore the clinical effect of the combination of temporal muscle sticking and extracranial-intracranial（EC-IC） bypass in the treatment of moyamoya disease.Methods 40 patients definitely diagnosed as moyamoya diseases from May 2013 to June 2015 in our hospital were selected and divided into group A and group B according to a random number table method.Group A was treated with temporal muscle sticking,group B was treated with EC-IC bypass on the basis of the treatment method of group A.All participants were required for 6-month follow up visits.The change of cerebral blood flow（CBF） was tested and the therapeutic effect was compared in the two groups.Results The total effective rate of the group B was 75%,which was higher than 85% of the group A,with significant difference（P〈0.05）.The amount of cerebral blood flow,pulse pressure difference and peak value of blood flow in the group B was higher than that in the group A,with significant difference（P〈0.05）.Conclusion Combination of temporal muscle sticking and EC-IC bypass in the treatment of moyamoya disease is significant,which plays a positive role in CBF supply.

关 键 词：烟雾病 颅内外血管搭桥 颞肌贴敷 临床症状 

分 类 号：R743.9[医药卫生—神经病学与精神病学]