脑-硬膜-动脉-颞肌贴敷术治疗烟雾病  

Application of EDAMS in treatment of moyamoya disease

作　　者：桂明[1] 夏承东[1] 杜向阳[1] 韩飞[1] 

机构地区：[1]安徽省六安市中医院脑外Ⅱ科,237006

出　　处：《淮海医药》2013年第5期389-391,共3页Journal of Huaihai Medicine

摘　　要：目的总结脑-硬膜-动脉-颞肌贴敷术治疗烟雾病的疗效。方法选择DSA全脑血管造影确诊烟雾病患者11例,采用脑-硬膜-动脉-颞肌贴敷术治疗,术后随访、复查DSA,观察临床疗效。结果随访3～24个月,11例患者均恢复良好,有3例2年内复查DSA见烟雾状血管较术前减少,可见颈外动脉向皮层动脉供血,余未复查DSA。结论脑-硬膜-动脉-颞肌贴敷术是治疗烟雾病的一种间接血管融合手术,手术相对简单,部分患者有一定的疗效。Objective To study the effect of Encephalo-Duro-Arterio-Myo-Synangiosis（EDAMS） method for the treatment of moyamoya disease.Methods 11 cases of moyamoya patients diagnosed with digital subtraction cerebral angiography（DSA） were chosen and treated with EDAMS method.All the patients were followed up after operation and their DSA reviewed.The clinical efficacy was observed.Results Follow-up（3~24 months） revealed all the 11 patients recovered well.Smog-like vessels decreased in three cases by DSA review two years after operation.External carotid artery blood was apparently supplied to the cortex.DSA retests were not conducted on other cases.Conclusion EDAMS is an indirect vascular fusion surgery for the treatment of moyamoya disease,which is relatively simple and has certain curative effect on some patients.

关 键 词：烟雾病 脑-硬膜-动脉-颞肌贴敷术 治疗结果 

分 类 号：R743.4[医药卫生—神经病学与精神病学]