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目的:探讨颞浅动脉-大脑中动脉分支吻合术联合脑-硬脑膜-肌肉-血管融合术(STA-MCA-EDAMS)治疗烟雾病的效果。方法:抽取临汾市中心医院2014年2月至2020年6月收治的50例烟雾病患者为研究对象,并按照随机数字表法进行分组。研究组25例行STA-MCA-EDAMS,对照组25例行脑-硬脑膜-肌肉-血管融合术(EDAMS)。记录并比较两组治疗效果及治疗前、后脑血流量。结果:研究组治疗优良率为92.00%(23/25),低于对照组的72.00%(18/25),n P0.05);术后2周、术后3个月两组脑血流量检测值均较术前增加,研究组术后各时间点脑血流量检测值均高于对照组,差异有统计学意义(n P<0.05)。n 结论:应用STA-MCA-EDAMS手术方案治疗烟雾病效果显著。“,”Objective:To investigate the effect of superficial temporal artery-middle cerebral artery branch anastomosis combined with brain-dural-muscle-vascular fusion (STA-MCA-EDAMS) in the treatment of moyamoya disease.Methods:A total of 50 patients with moyamoya disease admitted to Linfen Central Hospital from February 2014 to June 2020 were selected as the research objects, and they were grouped by random number table method. The study group (25 cases) underwent STA-MCA-EDAMS surgery, while the control group (25 cases) underwent EDAMS surgery. The curative effects, preoperative and postoperative cerebral blood flow of the two groups were recorded and compared.Results:The excellent and good rate of treatment in the study group was 92.00%(23/25), lower than the 72.00%(18/25) in the control group (n P<0.05). The cerebral blood flow increased 2 weeks and 3 months after treatment, compared with preoperative values in both groups (n P<0.05). And the cerebral blood flow of the study group was higher than that of control group, 2 weeks and 3 months after treatment (n P<0.05).n Conclusions:The application of STA-MCA-EDAMS surgical program is effective in treating moyamoya disease.