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报导60例缺血性脑卒中,65次颞浅动脉——大脑中动脉分支端侧吻合术的结果.本组年龄介于41-70岁,术前后均作颈动脉造影和多普勒效应核查吻合口之通畅性.除3例外,其病因均为动脉粥样硬化所引起.其中短暂脑缺血发作(TlA)7例,完全性卒中53例.7例TIA术后均未再有发作,有效率为100%.完全型卒中53例中,按其病变的严重程度分为3种类型:(1)病损局限,大多表现为上肢单瘫或失语,手术多于病后16-30日内施行(个别病例病程超过1年后方行手术),其中7例治愈,5例好转,3例无效.于显效病例,术后48小时内即见临床改
Reported 60 cases of ischemic stroke, 65 times the superficial temporal artery - middle cerebral artery branch anastomosis results in this group aged 41-70 years old, were preoperative and postoperative carotid angiography and Doppler effect Check the patency of the anastomosis, except for 3 cases, the etiology is caused by atherosclerosis, including transient ischemic attack (TlA) in 7 cases, complete stroke in 53 cases .7 cases of TIA postoperative no more attacks , With an effective rate of 100% .The complete stroke in 53 cases, according to the severity of the lesions are divided into three types: (1) lesions, most of the performance of upper limbs paralysis or aphasia, surgery more than the disease after 16-30 Days of implementation (individual cases more than 1 year course of surgery), of which 7 cases were cured, 5 cases improved, 3 cases ineffective. In effective cases, see the clinical change within 48 hours after surgery