自1927年Moniz倡导脑血管造影以来,逐渐发现缺血性卒中病人,发生阻塞关键性的动脉(即产生临床症状的阻塞部位),50％位于颅外,并且是节段性的。这些发现为手术治疗闭塞性脑血管病提供了线索。50年代以来即逐渐开展了动脉内膜切除术与动脉成形术。60年代以来由于显微手术在外科的应用,国外Yasargil氏(1967年)首先开展了头皮动脉与脑皮层动脉的吻合手术,国内新疆医学院于1977年也开展了这一手术,目前世界上已有2000余例患者进行此种手术治疗。 Since Moniz’s pioneering cerebrovascular angiography in 1927, there has been a gradual onset of ischemic stroke in which occlusion-critical arteries (ie, obstructive sites that produce clinical symptoms) occur, 50% extracranial and segmental. These findings provide a clue for the surgical treatment of occlusive cerebrovascular disease. Since the 1950s that is gradually carried out endarterectomy and angioplasty. Since the 1960s due to microsurgery in surgical applications, foreign Yasargil’s (1967) first scalp artery and cortical artery anastomosis surgery, the domestic Xinjiang Medical College in 1977 also carried out the operation, the world has There are more than 2000 patients for such surgical treatment.