成人烟雾病的外科血管重建治疗方式探讨  

Investigation of surgical revascularization method in the treatment of adult moyamoya disease

作　　者：罗飚 黄伟豪 陈唯实 邓智峰 

机构地区：[1]台山市人民医院神经外科,529200

出　　处：《中国现代药物应用》2015年第11期3-5,共3页Chinese Journal of Modern Drug Application

基　　金：2014年度江门市卫生计生局科研立项项目(项目编号:江卫【2014】201号-14A046)

摘　　要：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。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.

关 键 词：烟雾病 间接血管重建术 成人 

分 类 号：R743.3[医药卫生—神经病学与精神病学]