CAJ | 학술논문

目的探讨颅内外血管重建术治疗烟雾病的临床疗效和治疗经验.方法收集2011年3月至2012年12月济宁医学院附属医院神经外科收治的28例烟雾病患者,其中缺血型22例,出血型6例,所有患者均接受颅内外血管重建术的治疗.结果 23例患者术后临床症状消失,3例患者术后临床症状好转,2例患者因并发脑梗死术后神经功能较术前恶化.结论颅内外血管重建术为烟雾病患者重新建立颅内血运,可降低患者再次发生脑梗死和脑出血的概率,临床效果满意,是治疗烟雾病的有效方法.
목적 탐토로내외혈관중건술치료연무병적림상료효화치료경험.방법 수집2011년3월지2012년12월제저의학원부속의원신경외과수치적28례연무병환자,기중결혈형22례,출혈형6례,소유환자균접수로내외혈관중건술적치료.결과 23례환자술후림상증상소실,3례환자술후림상증상호전,2례환자인병발뇌경사술후신경공능교술전악화.결론 로내외혈관중건술위연무병환자중신건립로내혈운,가강저환자재차발생뇌경사화뇌출혈적개솔,림상효과만의,시치료연무병적유효방법.
Objective To explore the clinical efficacy and experiences of extracranial-intracranial revascularization for the treatment of Moyamoya disease.Methods Clinical data of 28 patients with Moyamoya disease were analyzed retrospectively form March 2011 to December 2012,including 22 cases of ischemic lesion,6 case of hemorrhage lesion,all patients received extracranial-intracranial revascularization treatment.Results 23 patients had excellent recovery after surgery,the incidence of transient ischemic attack and cerebral hemorrhage were obviously reduced; the clinical symptoms were improved in 3 patients;the neurologic function of 2 patients deteriorated because of the cerebral infarction.Conclusions Extracranial-intracranial revascularization can re-establish the blood circulation for Moyamoya disease patients,reduce the recurrence of cerebral infarction and cerebral hemorrhage.Extracranialintracranial revascularization is an effective treatment for Moyamoya disease.