摘要
目的 探讨颅内外血管吻合结合间接血管重建治疗烟雾病的疗效。方法65例烟雾病中，缺血型49例，出血型16例，均接受颞浅动脉-大脑中动脉分支吻合与脑-硬膜-肌肉血管融合术相结合的手术治疗，其中15例行同侧颞浅动脉两个分支吻合，9例行双侧手术。术后采用CTA、TCD、CT灌注成像和DSA评价手术效果。结果采用该术式后，患者手术侧血流均有立即改善，随访效果好。结论颞浅动脉-大脑中动脉分支直接吻合术结合脑-硬脑膜-肌肉血管融合术治疗烟雾病效果良好。
Objective To study the therapeutic effect of superficial temporal artery - middle cerebral artery （STA- MCA） anastomosis combining with original eneephaloduromyosynangiosis in treating moyamoya disease. Methods 89 direct STA-MCA bypasses combining with eneephaloduromyosynangiosis were performed on 73 hemispheres in 49 cases of ischemic - type and 16 cases of hemorrlogic-type moyamoya disease during October 2005 to July 2008 in Huashan Hospital. Results The cerebral blood flow increased immediately after operation. The ischemic symptoms were relieved in all the patients. No rebleeding was found on follow up. Conclusion We named indirect revascularization using temporal muscle （the deep temporal artery ） and the dura mater （the middle meningeal artery ） as ＂ encephaloduromyosynangiosis （EDMS） ＂. The combination of STA - MCA bypass with EDMS is a new rational cerebral revascularization in treating moyamoya disease.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第2期102-105,共4页
Chinese Journal of Neurosurgery
基金
国家自然科学基金资助（304717E9）
上海市科委重点科技攻关资助项目（07419504）
