[1]张登文　邓剑平　张　涛　陈　虎　赵振伟.颞浅动脉-颞浅筋膜-脑贴敷术治疗烟雾病疗效观察[J].中国临床神经外科杂志,2015,(06):326-328.[doi:10.13798/j.issn.1009-153X.2015.06.002]
　ZHANG Deng-wen,DENG Jian-ping,ZHANG Tao,et al.Curative effect of encephalo-superficial temporal artery-superficial temporal fascia flap-synangiosis on Moyamoya disease (report of 31 cases)[J].,2015,(06):326-328.[doi:10.13798/j.issn.1009-153X.2015.06.002]
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颞浅动脉-颞浅筋膜-脑贴敷术治疗烟雾病疗效观察()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年06期
页码:
326-328
栏目:
论著
出版日期:
2015-06-30

文章信息/Info

Title:
Curative effect of encephalo-superficial temporal artery-superficial temporal fascia flap-synangiosis on Moyamoya disease (report of 31 cases)
文章编号:
1009-153X（2015）06-0326-03
作者:
张登文　邓剑平　张　涛　陈　虎　赵振伟
710038 西安，第四军医大学唐都医院神经外科
通讯作者：赵振伟，E-mail：zzwzc@sina.com
Author(s):
ZHANG Deng-wen;  DENG Jian-ping;  ZHANG Tao;  CHEN Hu;  ZHAO Zhen-wei.
Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi’an 710038, China
关键词:
烟雾病; 颞浅动脉-颞浅筋膜-脑贴敷术; 效果
Keywords:
Moyamoya disease;  Encephalo-STA-STF-synangiosis;  Prognosis
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2015.06.002
文献标志码:
A
摘要:
目的 探讨颞浅动脉-颞浅筋膜-脑贴敷术治疗烟雾病的有效性及安全性。方法 回顾性分析2005年至2014年运用颞浅动脉-颞浅筋膜-脑贴敷术治疗的31例烟雾病患者的临床资料。结果 31例患者共行36侧半球手术，术后随访6~59个月，平均20个月；临床预后优秀或良好26例（83.9%）。22例术后6~45个月（平均17个月）复查脑血管造影，血供重建效果良好12例（54.5%）。术后发生脑梗死、硬膜下血肿及头皮缺血各2例，均未遗留神经功能障碍，只有1例遗留术区头发生长障碍。结论 颞浅动脉-颞浅筋膜-脑贴敷术是治疗烟雾病安全、有效的方法。
Abstract:
Objective To evaluate the safety of encephalo-superficial temporal artery (ATA)-superficial temporal fascia flap (STF)-synangiosis and its curative effect on the patients with Momoyaya disease. Method The clinical data of 31 patients with Moyamoya disease, who underwent encephalo-STA-STF-synangiosis from 2005 to 2014, were analyzed retrospectively, including patients’ symptoms and signs, angiographic examination, operative procedure and complications, and prognoses. Results Thirty-six encephalo-STA-STF-synangioses were performed in 31 patients with Momoyaya disease, who were followed up from 6 to 59 months (mean, 20 months). The rate of good prognosis was 83.9% (26/31). Twenty-two patients were followed up with DSA from 6 to 45 months (mean, 17 months), and the rate of good-revascularization was 54.5% (12/22). There were postoperative complications including the cerebral infarct (2 cases), subdural hematomas (2 cases) and local scalp ischemia (2 cases) in 6 patients, who had not permanent neurological deficit. There was hair growth-retardation in 1 patient. Conclusion The present Results suggest that encehalo-STA- STF-synangiosis is a safe and effective method to treat Momoyaya disease.

参考文献/References:

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更新日期/Last Update: 2015-06-30