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1967年首先报导颅外-颅内动脉吻合术治疗脑缺血,里昂市于1972年开始开展此项手术。目前虽然此项搭桥术已作为常用手术,但对其适应症仍有争议,著者报告近10年的个人经验,并分析效果,提出个人对手术指征的意见。 1972年～1982年间对85例患者行97次吻合术,其中12例行双重吻合。全部病例均为成人,患动脉粥样硬化性脑缺血,手术采用典型方式,即选用颢浅动脉与大脑中动脉—皮层分支吻合,4例以枕动脉代替颞浅动脉行吻合术。
First reported in 1967 extracranial-intracranial artery anastomosis for the treatment of cerebral ischemia, Lyon started in 1972 to carry out the operation. Although this bypass surgery has been used as a common procedure, its indications are still controversial. The authors report about 10 years of personal experience and analyze the results, putting forward personal opinions on surgical indications. Between 1972 and 1982, 85 patients underwent 97 anastomoses, including 12 with double anastomosis. All patients were adults, suffering from atherosclerotic cerebral ischemia. The operation was performed in a typical way, that is, the selection of superficial â ... ¡artery and middle cerebral artery - cortical branch anastomosis, 4 cases of occipital artery instead of superficial temporal artery anastomosis.