自制简易Matas试验架的临床应用

目的：介绍一种自制的Matas试验架,探讨其临床应用效果。方法：介绍Matas试验架的制作和使用方法。并对10例颈动脉体瘤、4例巨大海绵窦动脉瘤、5例外伤性颈内动脉海绵窦瘘患者进行颈动脉压迫耐受训练。通过数字减影血管造影（DSA）和经颅多普勒（TCD）检查,了解大脑动脉及Willis环侧支循环的建立和代偿情况。结果：DSA和TCD显示大脑动脉及Willis环侧支循环的建立和代偿情况良好。19例患者均实施手术治疗和介入治疗,无一例发生并发症。结论：使用自制Matas试验架来进行颈动脉压迫训练,以其定位准确、压迫可靠、稳定性好、效果确切等优点,为成功手术提供了精确的术前评估和耐受训练。

Clinical Application of Self-made Matas Test Stand

Objective： To introduce a Matas Test stand made by ourselves, and explore its clinical application. Methods： The self-made Matas Test stand was introduced and was used by 10 patients with aneurysm of carotid artery, 4 great aneurysm of cavernous sinus, 5 traumatic carotid-cavernous fistula. Digital subtraction angiography （DSA） and transcranial Doppler were used to explore collateral circulation of cerebral arteries and Willis＇ circle. Re- sults： Digital subtraction angiography and transeranial Doppler indicated that collateral circulation of cerebral arteries and Willis＇ circle developed very well. All patients received operation and intervention treatment without comlications. Conclusion： Compression of carotid artery used this self-made Matas Test stand has the merit of accurate allocation, reliable compression, lasting stabilization and certain effect, and it provides accurate pre-operation evaluation and tolerance training for operation.