摘要
目的探讨颞浅动脉-大脑中动脉分支吻合术结合脑-硬脑膜．肌肉血管融合术在治疗成年烟雾病中的效果。方法23例成年烟雾病中，缺血首发者18例，出血首发者5例，均接收颞浅动脉．大脑中动脉分支吻合结合脑-硬脑膜-肌肉血管融合术的治疗，其中3例接收同侧两支吻合，8例接收双侧手术。结果经该手术治疗后，手术侧血流均有立即改善，手术侧缺血症状均有缓解，随访效果好。手术并发症1例，在吻合区附近出现小梗死灶。结论直接手术结合间接手术，即将颞浅动脉用作与大脑中动脉分支直接吻合的血管供体，将硬脑膜（脑膜中动脉）、颞肌（颞深动脉）用作血管融合术的血管供体，在成年烟雾病的治疗中是有效而合理的选择。
Objective To study the therapeutic effect of superficial temporal artery-middle cerebral artery （STA-MCA） anastomosis combining with original eneephaloduromyosynangiosis in adults with moyamoya disease. Methods 23 direct STA-MCA bypasses combining with encephaloduromyosynangiosis were performed on 23 hemispheres in 18 cases of ischemic-type and 5 cases of hemorrlogic-type moyamoya disease. Results The cere- bral blood flow increased immediately after operation. The ischemie symptoms were relieved in all the patients. No rebleeding was found on follow up. There＇ s a complication of operation related small infarction. Conclusion In- direct revascularization using temporal muscle （the deep temporal artery） and the dura mater （the middle menin- geal artery） is named as ＂encephaloduromyosynangiosis （EDMS）＂. The combination of STA-MCA bypass with EDMS is a rational approach in treating of adult moyamoya disease.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2009年第9期796-798,共3页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
烟雾病
成人
吻合术
脑血管重建
Moyamoya Disease
Adult
Anastomosis
Surgical
Cerebral Revascularization
