颞浅动脉植入联合脑膜反转手术治疗烟雾病

Superficial temporal artery implantation combined meningeal reversal surgical treatment of moyamoya disease

目的分析颞浅动脉植入联合脑膜反转治疗烟雾病的临床效果。方法对16例经数字减影血管造影(DSA)证实的烟雾病患者,均采用颞浅动脉植入联合脑膜反转手术的方法治疗。结果 16例患者随访6～18个月,未再发生脑缺血或脑出血,所有病例都没有新脑梗塞出现,临床症状均好转,复查见颅底血管网增加,血液供应有明显改善,伴侧支血管形成。结论颞浅动脉植入联合脑膜反转是治疗烟雾病的一种选择。

Objectives To analyze the clinical efficacy of superficial temporal ＇artery implantation jointed meningeal reversal therapy for treatment of moyamoya disease. Methods Confirmed by digital subtraction angiography （DSA）, 16 moyamoya disease patients were operated by the method of superficial temporal artery implanted jointed meningeal reverse and analyzed retrospectively. Results 16 patients were followed up for 6-18 months. There was no recurrence of cerebral ischemia or cerebral hemorrhage, no new cerebral infarction and clinical symptoms improved after surgery. Through DSA, the blood supply has improved significantly in skull base vascular network with collateral blood vessel formation. Conclusion The superficial temporal artery implantation combined with meningeal reverse is a choice for treatment of moyamoya disease.