Effect analysis of superficial temporal artery(STA)-middle cerebral artery(MCA)bypass com-bined with pedicled temporal parietal fascia application in the treatment of adult moyamoya disease(Analysis of 18 clinical cases)
Objective To investigate the efficacy and complications of superficial temporal artery(STA)-middle cerebral artery bypass combined with pedicled temporal parietal fascia flap(TPFF)in the treatment of Moyamoya disease(MMD).Methods A retrospective analysis was performed on 18 patients with moyamoya disease bypass in the second section of neurosurgery De-partment of Jiaozuo People's Hospital from January 2021 to June 2023.Preoperative PWI,DWI and DSA examinations were performed on the head,preoperative quality of life was assessed by mRS,postoperative complications were counted,and mRS Scores were performed at discharge.PWI and DSA examinations were performed six months after the operation,and the recovery was evaluated by mRS Score and Matsushima grading.Results All the 18 cases successfully comple-ted the operation,anastomotic vascular patency rate was 100％,postoperative hemorrhage in 1 case,infarction in 3 cases,epilepsy in 1 case,hyperperfusion syndrome in 2 cases,death in 0 cases,poor incision healing in 2 cases,symptoms improved in 12 cases,cerebral perfusion improved in 14 cases,mRS Score was significantly improved than before surgery,there were significant differ-ences.Conclusion STA-MCA bypass combined with pedicled temporoparietal fascia flap is a safe and effective treatment for moyamoya disease with lowcomplications.
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