發(fā)布時(shí)間：2018-10-23 17:37

【摘要】：目的探討顳淺動(dòng)脈-大腦中動(dòng)脈分支吻合術(shù)結(jié)合腦-硬膜-顳肌血管貼敷融合術(shù)(STA-MCA+EDMS)治療煙霧病手術(shù)早期效果及其高灌注綜合征特點(diǎn)。方法通過回顧性分析符合納入標(biāo)準(zhǔn)行STA-MCA+EDMS術(shù)的煙霧病患者臨床資料。對(duì)比術(shù)前術(shù)后腦血管造影術(shù)結(jié)果;統(tǒng)計(jì)分析術(shù)前及術(shù)后6 m神經(jīng)功能狀態(tài)結(jié)果;分析術(shù)后高灌注綜合征特征。結(jié)果 44人,共49次STA-MCA+EDMS術(shù)納入本次研究;該術(shù)式能確切改善腦供血,顱內(nèi)外血管形成良好交通;25人表示癥狀改善,但腦卒中臨床神經(jīng)功能缺損程度評(píng)分量表分析,評(píng)分雖有所改善,而無統(tǒng)計(jì)學(xué)意義;術(shù)后發(fā)生高灌注綜合征等不良反應(yīng)有18人(40.9%),而優(yōu)勢(shì)半球側(cè)手術(shù)明顯增加其發(fā)生概率(P0.05),Matsushima分型中Ⅲ~Ⅵ型潛在風(fēng)險(xiǎn)較高。結(jié)論臨床上應(yīng)根據(jù)煙霧病患者不同特征,進(jìn)行有效術(shù)前評(píng)估及積極預(yù)后干預(yù)。
[Abstract]:Objective to investigate the early effect of superficial temporal arterio-middle cerebral artery anastomosis combined with brain-dura-temporal muscle application (STA-MCA EDMS) in the treatment of moyamoya disease and the characteristics of hyperperfusion syndrome. Methods the clinical data of patients with moyamoya disease were analyzed retrospectively. The results of preoperative and postoperative cerebrovascular angiography were compared, the results of 6 m nerve function before and after operation were statistically analyzed, and the characteristics of postoperative hyperperfusion syndrome were analyzed. Results Forty-four patients, 49 STA-MCA EDMS procedures, were included in the study. The procedure can improve the blood supply of brain and good communication between intracranial and external blood vessels. 25 patients indicated that symptoms were improved, but the clinical neurological deficit scale was used to evaluate the degree of cerebral apoplexy. There were 18 cases (40.9%) of adverse reactions such as hyperperfusion syndrome occurred after operation, while the probability of occurrence was significantly increased in dominant hemispheric surgery (P0.05). The potential risk of type 鈪，

本文編號(hào)：2289994