Efficacy of superficial temporal artery-anterior temporal artery bypass combined with encephalo-duro-arterio-synangiosis in treatment of moyamoya disease
10.3760/cma.j.cn115354-20200220-00088
- VernacularTitle:颞浅动脉-颞前动脉搭桥联合脑-硬膜-肌肉血管融合术治疗烟雾病的临床疗效分析
- Author:
Renxing SONG
1
;
Chunxiao PANG
;
Lina WANG
;
Zengwu WANG
;
Kunming XIE
;
Yifei LI
;
Lemei CHEN
;
Hui GUO
Author Information
1. 潍坊市人民医院神经外科 261041
- Keywords:
Moyamoya disease;
Temporal artery-anterior temporal artery bypass;
Temporal artery-angular gyrus artery bypass;
Encephalo-duro-arterio-synangiosis;
Clinic
- From:
Chinese Journal of Neuromedicine
2020;19(8):805-809
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of superficial temporal artery-anterior temporal artery bypass combined with encephalo-duro-arterio-synangiosis in the treatment of Moyamoya disease.Methods:A total of 42 patients with moyamoya disease, admitted to our hospital from January 2016 to January 2019, were selected and divided into observation group and control group according to surgical management. The patients in the observation group were treated with superficial temporal artery-anterior temporal artery bypass combined with encephalo-duro-arterio-synangiosis, and the patients in the control group were treated with superficial temporal artery-angular gyrus artery bypass combined with encephalo-duro-arterio-synangiosis. The clinical data of these patients were analyzed retrospectively, and the differences of efficacy and safety between the two groups were compared.Results:There was no significant difference in operation time between the two groups ([189.16±21.23] min vs. [179.46±16.95] min, P>0.05). One d after the operation, the patients in both groups were re-examined with CT angiography, and the anastomotic vessels were unobligated. Two patients in the observation group had cerebral infarction in the operative region and one patient in the control group had cerebral infarction in the operative region; no significant difference was noted in the incidence of postoperative complications between the two groups ( P>0.05). The modified Rankin scale (mRS) scores in both groups one month after surgery were significantly decreased as compared with those one d before surgery ( P<0.05); one month after surgery, the mRS scores in observation group (0.13±0.346) were significantly lower than those in the control group (0.42±0.515, P<0.05). Conclusion:The superficial temporal artery-anterior temporal artery bypass combined with encephalo-duro-arterio-synangiosis has definite clinical efficacy in the treatment of moyamoya disease.
