局解手术学杂志2024，Vol.33Issue(1)：80-84,5.DOI:10.11659/jjssx.12E022068
颞浅动脉-大脑中动脉分支吻合术治疗闭塞性脑血管疾病的临床效果
Clinical effect of superficial temporal artery-middle cerebral artery anastomosis in the treatment of occlusive cerebrovascular disease
摘要
Abstract
Objective To investigate the clinical effect of superficial temporal artery-middle cerebral artery anastomosis(STA-MCA)in the treatment of patients with occlusive cerebrovascular disease.Methods A total of 74 patients with occlusive cerebrovascular disease admitted to our hospital were included and divided into the observation group and control group according to the random number table method,with 37 cases in each group.Patients in the control group received conservative treatment,and patients in the observation group received STA-MCA.After 3 months of follow-up,the cerebral blood flow indexes(including cerebral blood flow of anterior cerebral artery,and peak time)before treatment and 3rd day,1st month and 3rd month after treatment were observed,the modified Rankin scores before treatment and 3rd day and 1 month after treatment were recorded,and the revascularization and occurrence of complications after treatment were recorded.Results At 1 month and 3 months after treatment,the cerebral blood flow of anterior cerebral artery in the two groups increased and the peak time was shortened,and the cerebral blood flow of anterior cerebral artery in the observation group was higher than that in the control group,and the peak time was shorter than that in the control group,with statistically significant differences(P<0.05).The modified Rankin scores of the two groups 1 month after treatment were lower compared with those before treatment,and the modified Rankin score of the observation group was lower than that of the control group,with statistically significant differences(P<0.05).At 1 month after treatment,the proportions of patients with grades 0 and 1 of vascular reconstruction in the observation group were lower than those in the control group,and the proportions of patients with grades 2 and 3 were higher than those in the control group,with statistical significant differences(P<0.05).At 3 months after treatment,the proportions of patients with grades 0 and 1 of vascular reconstruction in the observation group were lower than those in the control group,and the proportion of patients with grade 3 of vascular reconstruction was higher than that in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in the total incidence of complications after treatment between the two groups(P>0.05).Conclusion STA-MCA has a good clinical effect in the treatment of patients with occlusive cerebrovascular disease,which is conducive to improving the cerebral blood flow indexes and promoting the recovery of neurological function and vascular reconstruction,with safety and reliability.关键词
闭塞性脑血管疾病/颞浅动脉-大脑中动脉分支吻合术/脑血流量/改良Rankin评分/并发症Key words
occlusive cerebrovascular disease/superficial temporal artery-middle cerebral artery anastomosis/cerebral blood flow/modified Rankin score/complication分类
医药卫生引用本文复制引用
付增彬,秦立鹏,李尧,李普阳,王凯,赵亚鹏,高雪亮..颞浅动脉-大脑中动脉分支吻合术治疗闭塞性脑血管疾病的临床效果[J].局解手术学杂志,2024,33(1):80-84,5.基金项目
河北省中医药管理局科研计划项目(2019028) （2019028）
