摘要
目的探讨颞浅动脉(STA)-大脑中动脉(MCA)分流术治疗大脑中动脉狭窄致缺血性卒中的安全性和有效性。方法回顾性分析2013年1月至2016年12月STA-MCA分流术治疗的75例大脑中动脉狭窄引起的缺血性卒中的临床资料。结果术中B超探查显示71例吻合口血流通畅满意,4例血流缓慢。术后3 d死亡2例,其余73例术后CT灌注成像检查显示脑血流灌注明显改善。术后7、14 d神经功能评分较治疗前明显改善(P<0.05),术后6、12个月神经功能评分进一步好转(P<0.05)。术后随访12个月,73例未出现因搭桥血管狭窄或闭塞引起的新发脑梗死及TIA;67例CTA检查显示血管显影良好。结论 STA-MCA分流术是预防和治疗大脑中动脉狭窄性卒中安全、有效的手段。
Objective To investigate the safety of superficial temporal artery-middle cerebral artery(STA-MCA)bypass and its curative effect on ischemic stroke included by MCA stenosis.Methods The clinical data of 75 patients with ischemic stroke caused by stenosis or occlusion of MCA,who underwent STA-MCA bypass,were analyzed retrospectively.The neuroimaging examinations,modified Ranki scale(mRS)and National Institute of Health stroke sale(NIHSS)were performed before and after the operation.The blood flow of STA-MCA bypass was detected by intraoperative B-ultrasound.The perioperative complications were observed in all the patients.Results The blood vessel of STA-MCA bypass were unobstructed in 71 cases and the blood flow was slow in 4 cases.Two patients died after the operation.The cerebral blood flow and neurological function were significantly improved in the survival 73 patients.All the survival patients were recovered well and no new cerebral infarction and transient ischemia attack symptoms were found in theses 73 patients 12 months after the operation.Conclusion STA-MCA bypass is a safe and effective method to treat the patients with ischemic stroke caused by stenosis of MCA.
作者
朱耀祖
蔡利
刘汉东
敖祥生
彭鹏
陈锋
张海泉
ZHU Yao-zu;CAI Li;LIU Han-dong;AO Xiang-sheng;PENG Peng;CHEN Feng;ZHANG Hai-quan(Department of Neurosurgery,Fuyang Central Hospital,Affiliated Hospital of Hubei University of Arts and Sciences,Fuyang 441021,China)
出处
《中国临床神经外科杂志》
2019年第2期81-83,97,共4页
Chinese Journal of Clinical Neurosurgery
