CAJ | 학술논문

目的探讨颞浅动脉-大脑中动脉(STA-MCA)吻合术治疗成人烟雾病的临床疗效和诊疗经验.方法回顾分析济宁医学院附属医院神经外科2010年4月至2014年9月60例成人烟雾病患者的临床资料,其中缺血型46例,出血型14例,所有患者均行颅脑DSA检查确诊为烟雾病并行以STA-MCA吻合术为主的颅内外血运重建术.结果 52例患者术后临床症状消失,6例患者术后临床症状好转,1例患者术后因并发左额颞部脑梗死术后神经功能较术前恶化,1例患者术后1年再次脑出血破入脑室.结论 STA-MCA吻合术能有效改善缺血性烟雾病的症状和降低出血性烟雾病的再出血概率,故STA-MCA吻合术是治疗成人烟雾病合理而有效的术式.
목적 탐토섭천동맥-대뇌중동맥(STA-MCA)문합술치료성인연무병적림상료효화진료경험.방법 회고분석제저의학원부속의원신경외과2010년4월지2014년9월60례성인연무병환자적림상자료,기중결혈형46례,출혈형14례,소유환자균행로뇌DSA검사학진위연무병병행이STA-MCA문합술위주적로내외혈운중건술.결과 52례환자술후림상증상소실,6례환자술후림상증상호전,1례환자술후인병발좌액섭부뇌경사술후신경공능교술전악화,1례환자술후1년재차뇌출혈파입뇌실.결론 STA-MCA문합술능유효개선결혈성연무병적증상화강저출혈성연무병적재출혈개솔,고STA-MCA문합술시치료성인연무병합리이유효적술식.
Objective To explore the clinical efficacy and experiences of superficial temporal artery-middle cerebral artery anastomosis (STA-MCA) for the treatment of adult Moyamoya disease.Method Preoperative and postoperative clinical data of 60 patients with moyamoya disease from affiliated hospital of jining medical college were analyzed retrospectively, including 46 cases of ischemic lesion and 14 cases of hemorrhage lesion.All patients were diagnosed with moyamoya disease by DSA and received STA-MCA anastomosis.Results The clinical symptoms of 52 patients disappeared after surgery;the clinical symptoms were improved in 6 patients;1 patient complicated with cerebral infarction;1 patients reoccurred cerebral hemorrhage broken into ventricles 1 year after anastomosis.Conclusion STA-MCA anastomosis can improve the symptoms of ischemic rnoyamoya disease effectively and reduce the recurrence of cerebral hemorrhage.STA-MCA anastomosis is a rational and effective approach for the treatmnent of adult Moyamoya disease.