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改良颅内外血管吻合术治疗缺血性脑血管病五例

Follow-up study of the modified extracranial -intracranial bypass on the treatment of ischemic cerebrovascular disease
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摘要 目的评价改良颅内外血管吻合术治疗缺血性脑血管病的疗效。方法对5例颈动脉闭塞患者行改良颅内外血管吻合术,分析术前、术后的脑血流动力学改变及临床症状,并进行7～12个月的随访。结果5例患者临床症状有所改善,在随访期间无卒中发生,单光子发射电子计算机断层扫描(SPECT)行局部脑血流量(rCBF)测定,显示脑血流量较术前有所增加。结论颅内外血管吻合术可有效地改善脑局部血流动力学状况及临床症状,预防完全性卒中的发生,远期疗效尚需进一步证实。 Objective To evaluate the effect of modified extracranial-intracranial bypass for the treatment of ischemic cerebrovascular disease. Methods 5 patients with occlusive carotid artery disease underwent modified EC/IC bypass surgery. Their hemodynamic and clinical data were analyzed before and after surgery. Results None of the five patients had stroke during the follow-up period. Clinical symptoms were improved. Regional cerebral blood flow (rCBF) measured by single photon emission computed tomography (SPECT) showed that rCBF was increased post operatively. Conclusion Extracranial- intracranial bypass surgery is effective to improve the rCBF and the clinical symptoms, and may prevent completely stroke. However the long term effect need to be further confirmed. SPECT is helpful to evaluate the effect of the surgery.
作者 依马木.依达依吐拉 买买提力 栾新平 鲍遇海 成晓江
机构地区 新疆医科大学第二附属医院神经外科 新疆医科大学第一附属医院神经外科
出处 《中国脑血管病杂志》 CAS 2005年第6期263-265,280,共4页 Chinese Journal of Cerebrovascular Diseases
关键词 颅内外血管吻合术 缺血性脑血管病 改良 治疗 电子计算机断层扫描 临床症状 局部脑血流量 颈动脉闭塞 动力学改变 单光子发射 血流动力学 完全性卒中 随访期间 远期疗效 脑局部 患者 术前 Anastomosis, surgical Brain ischemia Therapy
分类号 R743.3 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献15

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二级参考文献12

  • 1[1]The EC/IC bypass study group. Failure of extracranial int racranial artery bypass to reduced the risk of ischemic stroke: results of an internayional randomized trial- The EC/IC bypass study group. N Engl J Med, 1985, 313:1191-1200. 被引量：1
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共引文献22

中国脑血管病杂志
2005年 第6期

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