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脑动脉闭塞。颅外-颅内吻合术。

Cerebral occlusion. Extracranial-intracranial anastomosis.

作者信息

Berry P R

出版信息

AORN J. 1985 May;41(5):901-2, 904-5, 907-9. doi: 10.1016/s0001-2092(07)63589-3.

DOI:10.1016/s0001-2092(07)63589-3
PMID:3848299
Abstract

Between 1967 and 1982, EC-IC anastomoses were performed on 143 patients with obstructive cerebrovascular lesions at our hospital. Bypasses were patent in 93% of these patients, which was verified by Doppler examination or by both Doppler exam and angiography. Half as many patients with a patent bypass experienced further cerebrovascular events, compared to the expected number if the problem was left untreated. Recovery from mild neurological deficits or completed stroke was observed in 23 patients. As clinical experience increases, it becomes clear that EC-IC anastomoses are an important and effective treatment for patients suffering from obstructive cerebrovascular disease.

摘要

1967年至1982年间,我院对143例患有阻塞性脑血管病变的患者进行了颅外-颅内血管吻合术。这些患者中93%的血管搭桥通畅,这通过多普勒检查或同时通过多普勒检查和血管造影得以证实。与不进行治疗相比,血管搭桥通畅的患者发生进一步脑血管事件的人数只有预期人数的一半。23例患者从轻度神经功能缺损或完全性卒中中恢复。随着临床经验的增加,越来越清楚的是,颅外-颅内血管吻合术是治疗阻塞性脑血管疾病患者的一种重要且有效的方法。

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