CAJ | 학술논문

目的总结脑硬膜动脉血管融通(EDAS)术后脑膜中动脉的DSA影像的变化情况,探讨这种变化的可能的原因.方法回顾性分析131例行EDAS术治疗的烟雾病患者术前及术后血管造影的影像学资料.结果 131例患者共249侧半球行EDAS手术治疗.术前造影可见54侧半球脑膜中动脉与脑表面血管存在沟通,术后脑血管造影见139侧存在脑膜中动脉扩张,并与颅内建立新的沟通.74侧同时进行了颞浅动脉与颌内动脉的超选造影,58侧中可见颞浅动脉与脑膜中动脉之间在脑表面形成相互沟通.结论烟雾病行EDAS术后,可见脑膜中动脉的主干及分支会扩张并与脑组织表面的血管形成良好的沟通,具体的作用机制尚不明确,但手术中对于脑膜中动脉主干及分支的保护非常必要.
목적 총결뇌경막동맥혈관융통(EDAS)술후뇌막중동맥적DSA영상적변화정황,탐토저충변화적가능적원인.방법 회고성분석131례행EDAS술치료적연무병환자술전급술후혈관조영적영상학자료.결과 131례환자공249측반구행EDAS수술치료.술전조영가견54측반구뇌막중동맥여뇌표면혈관존재구통,술후뇌혈관조영견139측존재뇌막중동맥확장,병여로내건립신적구통.74측동시진행료섭천동맥여합내동맥적초선조영,58측중가견섭천동맥여뇌막중동맥지간재뇌표면형성상호구통.결론 연무병행EDAS술후,가견뇌막중동맥적주간급분지회확장병여뇌조직표면적혈관형성량호적구통,구체적작용궤제상불명학,단수술중대우뇌막중동맥주간급분지적보호비상필요.
Objective To summarize the changc of middle meningeal artery after of encephalo-duro-arteriosynangiosis(EDAS) on Moyamoya disease and argue the probably reason of the changing,Methods Retrospective analysis of the DSA image before and after operations of EDAS on 131 patients with Mdoyamoya disease.Results Operation of EDAS were performed on 249 hemispheres of 131 patients with Moyamoya disease.Connection with vessels on cerebral of middle meningeal artery was found on 54 hemispheres.After the proccdure,new connection was found on 139 hemispheres.We preformed super selection angiograph of superficial temporal artery and internal maxillary artery on 74 hemispheres,and new connection of them were fotund on 58 hemispheres.Conclusions The new connection of the stem and branches of middle meningeal artery with the vessels on brain tissues can be found after procedures of EDAS on patients with Moyamoya disease.The mechanism is not clear.The protection of middle meningeal artery is very important during the procedure.