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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
- 局解手术学杂志 2024年33卷第1期 页码：80-83
- 作者机构：
河北省中医院/河北中医药大学第一附属医院神经外科，河北 石家庄 050000
- 作者简介：
高雪亮，E-mail：gxl020@126.com
- 基金信息：河北省中医药管理局科研计划项目(2019028)
DOI：10.11659/jjssx.12E022068
中图分类号： R651.1+2纸质出版日期：2024-01-25，
收稿日期：2022-12-09，
扫 描 看 全 文
付增彬,秦立鹏,李尧等.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(01):80-83.
FU Zeng-bin,QIN Li-peng,LI Yao,et al.Clinical effect of superficial temporal artery-middle cerebral artery anastomosis in the treatment of occlusive cerebrovascular disease[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(01):80-83.
付增彬,秦立鹏,李尧等.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(01):80-83. DOI： 10.11659/jjssx.12E022068.
FU Zeng-bin,QIN Li-peng,LI Yao,et al.Clinical effect of superficial temporal artery-middle cerebral artery anastomosis in the treatment of occlusive cerebrovascular disease[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(01):80-83. DOI： 10.11659/jjssx.12E022068.
摘要
目的
2
探讨颞浅动脉-大脑中动脉分支吻合术（STA-MCA）治疗闭塞性脑血管疾病的临床效果。
方法
2
纳入我院收治的74例闭塞性脑血管疾病患者，根据随机数字表法分为观察组与对照组，每组37例。对照组患者采用保守治疗，观察组患者采用STA-MCA治疗。术后随访3个月，观察2组治疗前和治疗后第3天、1个月、3个月的脑血流指标（大脑前动脉脑血流量、达峰时间），记录2组患者治疗前和治疗后第3天、1个月改良Rankin评分，统计治疗后血管重建情况和并发症发生情况。
结果
2
2组患者治疗后1个月、3个月的大脑前动脉脑血流量均提高，达峰时间均缩短，且观察组患者大脑前动脉脑血流量高于对照组，达峰时间短于对照组，差异有统计学意义（
P
<
0.05）。与治疗前比较，2组患者治疗后1个月改良Rankin评分均降低，且观察组低于对照组，差异有统计学意义（
P
<
0.05）。观察组患者治疗后1个月血管重建为0级、1级的比例低于对照组，2级、3级比例高于对照组，差异均有统计学意义（
P
<
0.05）；观察组患者治疗后3个月血管重建为0级、1级比例低于对照组，3级比例高于对照组，差异均有统计学意义（
P
<
0.05）。2组患者治疗后并发症总发生率比较，差异无统计学意义（
P
>
0.05）。
结论
2
STA-MCA治疗闭塞性脑血管疾病的临床效果良好，有利于改善脑血流指标，促进神经功能恢复和血管重建，安全可靠。
Abstract
Objective
2
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
2
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
2
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
2
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
Keywords
occlusive cerebrovascular diseasesuperficial temporal artery-middle cerebral artery anastomosiscerebral blood flowmodified Rankin scorecomplication
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