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缺血性脑血管病中带血管蒂大网膜移植至脑表面

Vascularized omental graft to brain surface in ischemic cerebrovascular disease.

作者信息

Yoshioka N, Tominaga S, Suzuki Y, Yamazato K, Inui T, Nonaka K, Wakamatu K

机构信息

Department of Plastic and Reconstructive Surgery, Osaka City University, Japan.

出版信息

Microsurgery. 1995;16(7):455-62. doi: 10.1002/micr.1920160705.

DOI:10.1002/micr.1920160705
PMID:8544704
Abstract

The application of vascularized omental graft for the treatment of four patients with ischemic cerebrovascular disease is presented. The superficial temporal artery and vein were used as recipient vessels, and vascular anastomosis was applied in an end-to-end fashion. The distal parts of the omentum were exteriorized as monitoring segments for about 1 week. Angiography and cerebral blood flow (CBF) studies were performed in all patients postoperatively. There were no major complications, and all patients showed increases of CBF and apparent clinical improvement. It is suggested that this method is effective in selected patients with ischemic cerebrovascular disease.

摘要

本文介绍了带血管蒂大网膜移植治疗4例缺血性脑血管病患者的应用情况。颞浅动静脉作为受体血管,采用端端血管吻合术。大网膜远端部分作为监测段外置约1周。所有患者术后均进行了血管造影和脑血流量(CBF)研究。无重大并发症,所有患者CBF均增加,临床症状明显改善。提示该方法对部分缺血性脑血管病患者有效。

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