【摘 要】
：
目的 探讨联合血管重建术治疗烟雾病的疗效.方法 23例缺血型烟雾病患者均采用颞浅动脉-大脑中动脉分支吻合与脑-硬膜-肌肉血管融合术(STA-MCA+ EDMS)手术方法.术前、术后1周
【机 构】
：
徐州医学院研究生院,武警总医院神经血管外科
论文部分内容阅读
目的 探讨联合血管重建术治疗烟雾病的疗效.方法 23例缺血型烟雾病患者均采用颞浅动脉-大脑中动脉分支吻合与脑-硬膜-肌肉血管融合术(STA-MCA+ EDMS)手术方法.术前、术后1周及术后3个月行mRS评分,并测量术前、术后1周手术侧大脑中动脉分布区的CT灌注参数.结果 22例患者术后1周行DSA或CTA检查示吻合口通畅,1例吻合血管闭塞.术后3个月mRS评分与术前、术后1周两组比较,差异有统计学意义(P＜0.05).所有患者手术侧大脑中动脉分布区CT灌注成像各参数分别行分析,结果显示:术后1周示CBF增加,MTT、TTP缩短,与术前比较差异有统计学意义(P＜0.05).结论 联合血管重建术能改善缺血型烟雾病患者症状.
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