应用颞浅动脉-大脑中动脉搭桥术治疗闭塞性脑血管疾病疗效与安全性meta分析  

A meta-analysis of the Efficacy and Safety of Superficial Temporal Artery-middle Cerebral Artery Bypass in the Treatment of Occlusive Cerebrovascular Diseases

作　　者：黄涛 吴日乐 云强 谭响 于剑 HUANG Tao;WU Ri-le;YUN Qiang;TAN Xiang;YU Jian(Graduate School of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014000 China;Department of Neurosurgery,Inner Mongolia Autonomous Region people's hospital,Hohhot 010017 China)

机构地区：[1]内蒙古科技大学包头医学院,内蒙古包头014000 [2]内蒙古自治区人民医院神经外科,呼和浩特010017

出　　处：《内蒙古医学杂志》2022年第1期51-54,共4页Inner Mongolia Medical Journal

摘　　要：目的系统评价颞浅动脉-大脑中动脉搭桥术(superficial temporal artery-middle cerebral artery,STA-MCA)治疗闭塞性脑血管疾病的疗效与安全性。方法计算机检索PubMed、Embase、The Cochrane Library、中国知网及万方数据库,搜集自建库起至2021年3月所有关于STA-MCA治疗闭塞性脑血管疾病(cerebrovascular disease)的随机对照试验(randomized controlled clinical trials,RCTs)。由2位研究者共筛选出939篇文献,最终纳入8篇文献,总病例数为2265例,其中试验组1138例,对照组1127例,使用Review Manager5.4软件进行研究分析。结果STA-MCA手术组较药物治疗组治疗有效性高(OR=0.67,95%CI:0.47~0.96,P=0.03)。结论对于颅内闭塞性脑血管疾病应用STA-MCA搭桥手术是一种有效的方法,但是该结论仍然需要更多的优质研究加以论证。Objective To evaluate the efficacy and safety of superficial temporal artery-middle cerebral artery(STA-MCA)in the treatment of occlusive cerebrovascular disease.Methods PubMed,Embase,The Cochrane Library,CNKI and Wanfang databases were searched for randomized controlled clinical trials(RCTs)of STA-MCA in the treatment of occlusive cerebrovascular diseases from inception to March 2021.A total of 939 articles were screened by two researchers,and 8 articles were finally included,with a total of 2265 cases,including 1138 cases in the experimental group and 1127 cases in the control group.Review Manager 5.4 software was used for research and analysis.Results The efficacy of STA-MCA operation group was higher than that of drug treatment group(OR=0.67,95%CI:0.47-0.96,P=0.03).Conclusion STA-MCA bypass surgery is an effective method for intracranial occlusive cerebrovascular diseases,but this conclusion still needs more high-quality studies to demonstrate.

关 键 词：颞浅动脉-大脑中动脉搭桥术 闭塞性脑血管疾病 META分析 

分 类 号：R651.12[医药卫生—外科学]