Operation of superficial temporal artery -middle cerebral artery(STA -MCA)bypass combined with tem-poral muscle sticking therapy adult moyamoya disease

VernacularTitle:颅内外血管搭桥联合颞肌贴敷治疗成年人烟雾病
Author: Shicong ZHOU ; Zengjun PAN ; Xuqin LI ; Dong CHEN ; Jiangong ZHANG
Publication Type:Journal Article
Keywords: Moyamoya Disease; Surgical Procedures,Operative; Treatment Outcome
From: Chinese Journal of Primary Medicine and Pharmacy 2015;(12):1820-1822
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effect of operation of superficial temporal artery-middle cerebral artery(STA -MCA)bypass combined with temporal muscle sticking in the treatment of adult moyamoya disease.Methods A retrospective analysis was the data of operation,including preoperative evaluation,operation method,postoperative follow -up.Results Postoperative complications occurred in 5 cases,including 3 cases of intracranial hemorrhage,2 cases of cerebral infarction.During the follow -up of 6 -35 months,no recurrent hemor-rhage cases,1 cases of cerebral infarction,TIA remission rate was 93.5%.Postoperative cerebral blood flow of 38 cases significantly improved compared with preoperative by SPET,accounted for 86.3%.Cerebral blood flow of 41 cases was well compensated by vascular bridge,accounted for 91%.Conclusion Operation of STA -MCA bypass combined with temporal muscle sticking can significantly reduce the incidence of stroke,fewer complications,which is an ideal method in the treatment of adult moyamoya disease.