CAJ | 학술논문

目的：探讨颅内外血管搭桥（STA-MCA）联合颞肌贴敷治疗成年人烟雾病的临床效果。方法回顾性分析46例采用颅内外血管搭桥联合颞肌贴敷治疗烟雾病病例的术前评估、手术方法、术后随访资料。结果出现术后并发症5例，其中颅内出血3例，脑梗死2例。随访6～35个月，无再出血病例，1例出现脑梗死，短暂性脑缺血发作（TIA）缓解率为93．5％。术后复查单光子发射计算机断层成像术（SPECT）提示38例脑血流灌注较术前明现好转，占86．3％，数字减影血管造影（DSA）造影提示41例桥血管通畅，代偿良好，占91％。结论STA-MCA 联合颞肌贴敷治疗成年人烟雾病能明显降低脑卒中发生率，并发症少。
목적：탐토로내외혈관탑교（STA-MCA）연합섭기첩부치료성년인연무병적림상효과。방법회고성분석46례채용로내외혈관탑교연합섭기첩부치료연무병병례적술전평고、수술방법、술후수방자료。결과출현술후병발증5례，기중로내출혈3례，뇌경사2례。수방6～35개월，무재출혈병례，1례출현뇌경사，단잠성뇌결혈발작（TIA）완해솔위93．5％。술후복사단광자발사계산궤단층성상술（SPECT）제시38례뇌혈류관주교술전명현호전，점86．3％，수자감영혈관조영（DSA）조영제시41례교혈관통창，대상량호，점91％。결론STA-MCA 연합섭기첩부치료성년인연무병능명현강저뇌졸중발생솔，병발증소。
Objective To investigate the clinical effect of operation of superficial temporal artery-middle cerebral artery(STA -MCA)bypass combined with temporal muscle sticking in the treatment of adult moyamoya disease.Methods A retrospective analysis was the data of operation,including preoperative evaluation,operation method,postoperative follow -up.Results Postoperative complications occurred in 5 cases,including 3 cases of intracranial hemorrhage,2 cases of cerebral infarction.During the follow -up of 6 -35 months,no recurrent hemor-rhage cases,1 cases of cerebral infarction,TIA remission rate was 93.5%.Postoperative cerebral blood flow of 38 cases significantly improved compared with preoperative by SPET,accounted for 86.3%.Cerebral blood flow of 41 cases was well compensated by vascular bridge,accounted for 91%.Conclusion Operation of STA -MCA bypass combined with temporal muscle sticking can significantly reduce the incidence of stroke,fewer complications,which is an ideal method in the treatment of adult moyamoya disease.