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| 脑血管重建术对颈动脉系统缺血性病变脑血流的影响 | |
| 引用本文： | 莫大鹏,段鸿洲,李良,焦力群,李萌,凌锋,华扬.脑血管重建术对颈动脉系统缺血性病变脑血流的影响[J].中国脑血管病杂志,2008,5(12). |
| 作者姓名： | 莫大鹏 段鸿洲 李良 焦力群 李萌 凌锋 华扬 |
| 作者单位： | 1. 北京大学第一医院神经外科,100034 2. 首都医科大学宣武医院神经外科 3. 首都医科大学宣武医院血管超声科 |
| 摘 要： | 目的探讨采用颞浅动脉-大脑中动脉(STA-MCA)吻合术对动脉粥样硬化性颈动脉闭塞、大脑中动脉闭塞或严重狭窄患者脑血流的影响及治疗作用。方法49例患者术前采用经颅多普勒超声(TCD)、经颅彩色双功能超声(TCCD)、单光子发射计算机断层显像术(SPECT,24例)和磁共振灌注成像(PWI,16例)行脑血流评价,提示均存在血流动力学障碍,并行STA-MCA吻合术。术后常规行脑血管造影和脑血流评价。术后每3～6个月随访1次,共随访约36个月。按改良Rankel量表(mRS)评定患者术后神经功能状况。结果①49例患者经TCD检测,显示手术后MCA远端血流明显改善(P<0.05);42例经TCCD检测STA,发现术后患侧较健侧管径扩张,峰值流速升高,阻力指数减低,均P<0.05;24例经SPECT检测,显示术后患侧与健侧的脑血流比值明显高于术前(P<0.05);16例经PWI检测,发现手术后MCA分布区达峰时间明显缩短(P<0.05)。②49例患者术后血管造影,显示42例吻合口通畅,7例吻合口不通畅。随访期间患者未出现与患侧相关的缺血性卒中再发生,术后36个月随访的32例患者mRS评分为(0.5±0.7),与术前(1... |
| 关 键 词： | 脑血管障碍 脑血管重建术 治疗结果 |
Effect of superficial temporal artery-middle cerebral artery anastomosis on the cerebral blood flow of ischemic lesions in carotid artery system |
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| MO Da-peng,DUAN Hong-zhou,LI Liang,JIAO Li-qun,LI Meng,LING Feng,HUA Yang.Effect of superficial temporal artery-middle cerebral artery anastomosis on the cerebral blood flow of ischemic lesions in carotid artery system[J].Chinese Journal of Cerebrovascular Diseases,2008,5(12). | |
| Authors: | MO Da-peng DUAN Hong-zhou LI Liang JIAO Li-qun LI Meng LING Feng HUA Yang |
| Institution: | MO Da-peng; DUAN Hong-zhou; LI Liang; JIAO Li-qun; LI Meng; LING Feng; HUA Yang.Department of Neurosurgery; Peking University First Hospital; Beijing 100034; China; |
| Abstract: | Objective To investigate the effect of superficial temporal artery-middle cerebral artery(STA-MCA)anastomosis on the cerebral blood flow of patients with atherosclerotic carotid artery occlusion,middle cerebral artery occlusion or severe stenosis and its therapeutic effect.Methods The state of cerebral blood flow in forty-nine patients were evaluated by transcranial Doppler sonography(TCD),transcranial color duplex sonography(TCCD),single photon emission computed tomography(SPECT)(n=24)and perfusion-weighte... |
| Keywords: | Cerebrovascular disorders Cerebral revascularization Treatment outcome |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |