本文選題：煙霧病 + 腦血管重建術(shù)�。� 參考：《臨床神經(jīng)外科雜志》2016年06期

【摘要】：目的探討腦-硬腦膜-血管融合術(shù)(EDAS)治療成人煙霧病的臨床療效。方法回顧分析上海交通大學(xué)醫(yī)學(xué)院附屬瑞金醫(yī)院北院神經(jīng)外科2005年1月~2014年6月收治的25例成人煙霧病患者的臨床資料。其中男性12例,女性13例,平均年齡42歲。以缺血為首發(fā)癥狀者19例,出血為首發(fā)癥狀者6例。根據(jù)Suzuki分型標(biāo)準(zhǔn),Ⅲ期14例,Ⅳ期8例,Ⅴ期3例。術(shù)前常規(guī)行血管造影明確診斷。所有病例均接受EDAS手術(shù)。術(shù)后6個(gè)月復(fù)查DSA進(jìn)行療效評估。結(jié)果本組25例患者,行左側(cè)EDAS手術(shù)9例,右側(cè)EDAS手術(shù)16例。術(shù)后6個(gè)月復(fù)查,再次接受對側(cè)EDAS手術(shù)3例。(1)新生血管生長:術(shù)后6個(gè)月DSA復(fù)查,25例患者中血管重建有效率為85.7%。(2)術(shù)后神經(jīng)功能癥狀改善:術(shù)后6個(gè)月復(fù)查,采用改良Rankin量表(mRS)評分標(biāo)準(zhǔn)對25例患者進(jìn)行神經(jīng)功能評估,腦缺血組神經(jīng)功能改善明顯(P0.05),腦出血組神經(jīng)功能改善不明顯(P0.05)。25例患者平均隨訪3.2年,1例缺血患者術(shù)后有短暫腦缺血發(fā)作,未伴有神經(jīng)功能缺損表現(xiàn);腦出血患者未有再出血發(fā)生。結(jié)論 EDAS創(chuàng)傷小,手術(shù)并發(fā)癥少,對成人缺血型煙霧病有一定的療效。
[Abstract]:Objective to investigate the clinical effect of brain-dural vascular fusion in the treatment of adult moyamoya disease. Methods the clinical data of 25 patients with adult moyamoya disease admitted from January 2005 to June 2014 in the Department of Neurosurgery of Ruijin Hospital affiliated to Shanghai Jiaotong University Medical College were retrospectively analyzed. There were 12 males and 13 females with an average age of 42 years. Ischemia was the first symptom in 19 cases and hemorrhage in 6 cases. According to Suzuki classification criteria, 14 cases were in stage 鈪，

本文編號：1855930