| 大动脉粥样硬化型缺血性脑血管病的颅内外血管搭桥治疗(附48例分析) |
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| 引用本文： | 张伟光,朱丹,王来藏,王超,李晨光,王智.大动脉粥样硬化型缺血性脑血管病的颅内外血管搭桥治疗(附48例分析)[J].现代生物医学进展,2011,11(22):4322-4324,4343. |
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| 作者姓名： | 张伟光 朱丹 王来藏 王超 李晨光 王智 |
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| 作者单位： | 1. 哈尔滨医科大学附属第四医院微创神经外科 黑龙江哈尔滨150001
2. 哈尔滨医科大学附属第二医院神经内科 黑龙江哈尔滨150086 |
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| 基金项目： | 黑龙江省科技攻关课题(GB06C40305); 黑龙江省卫生厅课题(2006-211) |
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| 摘 要： | 目的:评价大动脉粥样硬化(Large-artery atherosclerosis,LA)型缺血性脑血管病颅内外血管搭桥术(EC-IC bypass)的治疗效果,探讨颅内外血管搭桥术在新的历史条件下对于LA型缺血性脑血管病治疗的有效性。方法:回顾性分析48例LA型缺血性脑血管病病人的临床资料,其中短暂性脑缺血发作(TIA)36例,语言功能障碍8例,单侧肢体轻瘫4例。根据临床症状结合术前影像学资料,行颅内外血管搭桥术治疗。根据术后临床症状改善情况,并对比手术前后影像学资料的变化,对颅内外血管搭桥术治疗效果进行评价。结果:TIA病人中,1例术后出现卒中事件,其余35例术后TIA症状消失;语言功能障碍和单侧肢体轻瘫病人术后半年症状均有改善;40例LA型缺血性脑血管病病人术后影像学复查均获满意效果。结论:颅内外血管搭桥术对于LA型缺血性脑血管病的预防和治疗是有效的。
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| 关 键 词： | 脑缺血 动脉硬化 颅内外血管搭桥 |
EC-IC bypass for large-artery atherosclerosis-related ischemic cerebrovascular disease: analysis of 48 cases |
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| ZHANG Wei-guang,ZHU Dan,WANG Lai-zang,WANG Chao,Li Chen-guang,WANG Zhi.EC-IC bypass for large-artery atherosclerosis-related ischemic cerebrovascular disease: analysis of 48 cases[J].Progress in Modern Biomedicine,2011,11(22):4322-4324,4343. |
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| Authors: | ZHANG Wei-guang ZHU Dan WANG Lai-zang WANG Chao Li Chen-guang WANG Zhi |
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| Affiliation: | ZHANG Wei-guang1,ZHU Dan2,WANG Lai-zang1,WANG Chao1,Li Chen-guang1,WANG Zhi1(1 Department of Minimally Invasive Neurosurgery,the Fourth Affiliated Hospital of Harbin Medical University,Harbin,150001,China,2 Department of Neuroscience,the second Affiliated Hospital of Harbin Medical University,150086,China) |
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| Abstract: | Objective: To evaluate and explore the efficacy of EC-IC bypass for large-artery atherosclerosis-related ischemic cere-brovascular disease.Methods: Clinical data of 48 patients with large-artery atherosclerosis-related ischemic cerebrovascular disease were analyzed retrospectively,including 36 cases presented with TIA,8 with language dysfunction,4 with unilateral limb paralysis.EC-IC by-pass was performed according to their clinical symptoms and preoperative imaging features.Based on the improvement of post... |
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| Keywords: | Brain ischemia Arteriosclerosis EC-IC bypass |
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