CAJ | 학술논문

目的探讨缺血型烟雾病(MMD)的临床特点及实施颅内外血管重建术治疗缺血型烟雾病的疗效.方法 34例缺血型烟雾病患者,联合应用直接及间接颅内外血管重建术(STA-MCA+ EDAMS)以改善大脑血液供应.结果术后1周与术后6个月mRS比较P＜0.05,术前与术后6个月mRS比较P＜0.05.随访中,30例无脑血管意外情况发生,2例出现了短暂性脑缺血发作(TIA);1例出现了术侧半球轻度脑梗死;1例出现了术侧半球出血(ICH).7例术后因高灌注导致短暂的神经功能障碍.结论虽然经直接及间接颅内外血管重建术治疗烟雾病患者有术后颅内出血及高灌注等并发症的出现,但目前其仍是治疗烟雾病安全有效的手术方式.
목적 탐토결혈형연무병(MMD)적림상특점급실시로내외혈관중건술치료결혈형연무병적료효.방법 34례결혈형연무병환자,연합응용직접급간접로내외혈관중건술(STA-MCA+ EDAMS)이개선대뇌혈액공응.결과 술후1주여술후6개월mRS비교P＜0.05,술전여술후6개월mRS비교P＜0.05.수방중,30례무뇌혈관의외정황발생,2례출현료단잠성뇌결혈발작(TIA);1례출현료술측반구경도뇌경사;1례출현료술측반구출혈(ICH).7례술후인고관주도치단잠적신경공능장애.결론 수연경직접급간접로내외혈관중건술치료연무병환자유술후로내출혈급고관주등병발증적출현,단목전기잉시치료연무병안전유효적수술방식.
Objective To determine the clinical features and the efficacy of joint use of direct and indirect revascularization surgery for ischemic moyamoya disease.Methods To improve cerebral blow flow,combined with superficial temporal artery-middle cerebral artery anastomosis and encephalo-duro-arterio -myo-synangiosis (STA-MCA + EDAMS) in 34 ischemic moyamoya disease patients.Results During follow-up period,with no cerebrovascular event happened.2 patients suffered transient ischemic attack (TIA).1 suffered slight cerebral infarction and 1 intracerebral hemorrhage events (ICH),both of them were happened on the operated hemisphere.7 patients suffered temporary neurological deterioration due to cerebral hyperperfusion after operation.Conclusions Direct and indirect revascularization surgery were safe and effective treatment for moyamoya disease,although the issue of postoperative cerebral hemorrhage and cerebral hyperperfusion complications of the procedures remained to be solved.