两种脑血管重建术治疗缺血性脑血管病的疗效分析

Curative Effects of Two Surgical Methods of Cerebral Revascularization on Ischemic Cerebrovascular Disease

目的探讨不同脑血管重建术对缺血性脑血管病的治疗效果。方法对91例脑缺血患者采用脑血管重建术治疗前、后的临床表现和影像学变化进行回顾性分析,并在术后进行三个月到五年的随访。结果采用颞浅动脉-大脑中动脉搭桥术治疗39例,贴敷术(颞肌贴敷和颞浅动脉贴敷)52例。术后75例症状不同程度改善,16例无明显变化。搭桥术有效率为94.9%(37/39),明显高于贴敷术的73.1%(38/52,P<0.05)。结论脑血管重建术治疗缺血性脑血管病效果确切,搭桥术疗效较为显著。

Objective To investigate the curative effect of different operative methods of cerebral revascularization on ischemic cerebrovascular disease. Methods The clinical data of 91 patients with ischemic cerebrovascular disease in the Departments of Neumsurgery of the Fourth Affiliated Hospital of Harbin Medical University and Daqing Oil Fiehl General Hospital from February, 2003 to October, 2008, were analyzed retrospectively. All the patients were followed-up from 3 months to .5 years after the surgery. Results Of 39 patients receiving superficial temporal artery-middle cerebral artery bypass, 37 （94.9%） were improved in the clinical symptoms and signs and 2 （5.1%） were not. Of 52 receiving roofing of temporal muscle and encephalo-duro-arterio-synangiosis, 38 （73.1%） were improved in the clinical symptoms and signs and 14 （26.9%） were not. There was significantly difference in the effective rate between both the groups （P〈0.05）. Conclusions Cerebral Revascularization were effective method to treat ischemic cerebrovascular disease, and the curatuive effect of the cerebrovasculary bypass on ischemic cercbrovasculary disease is better than that of roofing of temporal muscle and encephalo-duro-arterio-synangiosis.