硬脑膜翻转颞肌贴敷治疗烟雾病  

Encephalomyosynangiosis combined with encephalodurosynangiosis for treatment of the moyamoya disease

作　　者：孙德科[1] 李宪锋[1] 李明军[1] 崔明芹[1] 辛军[1] 武涛[1] 

机构地区：[1]山东省临沂市沂水中心医院神经外科,沂水276400

出　　处：《中国实用医刊》2008年第15期22-23,共2页Chinese Journal of Practical Medicine

摘　　要：目的分析应用硬脑膜翻转颞肌贴敷治疗烟雾病的治疗效果。方法对10例经数字减影血管造影（DSA）证实的烟雾病患者，手术采用硬脑膜翻转颞肌贴敷。结果10例患者随访6—18个月，8例明显好转，1例癫痫发作者在未服药情况下未再发作。1例症状加重，复查MR见患者出现新的梗死9例，复查DSA见颅底血管网减少，伴侧支血管形成。结论硬脑膜翻转颞肌贴敷治疗烟雾病安全有效。Objective To analyze the data of 10 cases with moyamoya disease who underwent encephalomyosynangiosis （EMS）. Methods Ten patients were conducted. All patients underwent DSA, and neurological and neuropsycological examinations pre - and post -operatively. EMS combined with encephalodurosynangiosis was performed in each patient. Results All cases were followed up after 6 -18 months,eight of ten cases showed complete improvement, one case with epilepsy who did not take medicine post- operatively no longer break out, one case aggravated and the post - operative MR showed recent cerebral infarction. Post - operative DSA in nine cases showed the reduction basal vascular net and formation of collateral supply. Conclusion EMS combined with encephalodurosynangiosis is safe, effective and a simple measure for the treatment of moyamoya disease.

关 键 词：烟雾病 硬脑膜翻转颞肌贴敷术 外科手术 

分 类 号：R651.1[医药卫生—外科学]