CAJ | 학술논문

目的：探讨成人烟雾病采用血管重建术治疗的效果及临床意义。方法41例烟雾病成年患者,随机分为保守组15例和手术组26例,比较其治疗3个月后治愈率、致残率、死亡率及颞浅动脉的平均流速(Vm)差异。结果手术组患者治愈率46.15%,明显高于保守组的13.33%,其死亡率3.85%,明显低于保守组的26.67%,其治疗后颞浅动脉Vm为(60.15±13.56)cm/s,明显优于保守组的(48.93±10.25)cm/s,差异均具有统计学意义(P<0.05)。结论间接血管重建术是治疗成人烟雾病安全、简便、有效的手术方法。
목적：탐토성인연무병채용혈관중건술치료적효과급림상의의。방법41례연무병성년환자,수궤분위보수조15례화수술조26례,비교기치료3개월후치유솔、치잔솔、사망솔급섭천동맥적평균류속(Vm)차이。결과수술조환자치유솔46.15%,명현고우보수조적13.33%,기사망솔3.85%,명현저우보수조적26.67%,기치료후섭천동맥Vm위(60.15±13.56)cm/s,명현우우보수조적(48.93±10.25)cm/s,차이균구유통계학의의(P<0.05)。결론간접혈관중건술시치료성인연무병안전、간편、유효적수술방법。
Objective To investigate the effect and clinical significance of revascularization in the treatment of adult moyamoya disease. Methods A total of 41 adult patients with moyamoya disease were randomly divided into conservative group with 15 cases and surgical group with 26 cases. Comparisons were made on differences of cure rate, disability rate, mortality rate, and mean velocity (Vm) of superficial temporal artery in 3 months after treatment. Results The surgical group had the cure rate as 46.15%, which was higher than 13.33%of the conservative group. Its mortality rate as 3.85%was obviously lower than 26.67%of the conservative group, and its Vm of superficial temporal artery was (60.15±13.56) cm/s after treatment, which was better than (48.93±10.25) cm/s of the conservative group. Their differences all had statistical significance (P<0.05). Conclusion Indirect revascularization is a safe, convenient and effective surgery in treating adult moyamoya disease.