脑血管重建术治疗出血性烟雾病的疗效及预后分析  

Cerebral revascularization treatment the curative effect and prognosis of hemorrhagic moyamoya disease were analyzed

作　　者：张广宁[1] 李芳芳[2] 范巧菊[3] 隋小芳[3] 

机构地区：[1]济宁医学院附属医院神经外科,272100 [2]佳木斯大学附属第一医院病案室,154002 [3]佳木斯大学附属第一医院老年病科,154002

出　　处：《中国老年保健医学》2015年第3期20-22,共3页Chinese Journal of Geriatric Care

摘　　要：目的研究脑血管重建术治疗出血性烟雾病的治疗效果及其对预后的影响。方法对37例出血性烟雾病患者的临床资料进行回顾性分析。结果 29例行脑血管重建术的患者中5例出现再出血,8例保守治疗的患者中4例发生再出血。脑血管造影显示直接搭桥及直接和间接联合搭桥手术的血运重建效果优于单纯间接搭桥手术。手术治疗患者发生再出血的时间间隔长于保守治疗患者。结论血管重建术治疗出血性烟雾病的疗效及预后可能均优于保守治疗。Objectives To investigate the effects of revascularization surgery on hemorrhagic moyamoya disease.Methods The clinical and follow-up data of 37 patients with hemorrhagic moyamoya disease were analyzed retrospectively.Different treatments, which included direct bypass, indirect bypass, combined bypass and conserved treatment, were compared as well.Results Pa-tients who underwent revascularization surgery had a lower chance of rebleeding and a longer stroke-free time than those with con-served treatment.Direct and combined bypass surgery had a better revascularization efficiency than indirect way.Conclusions Re-vascularization surgery may be an effective treatment in hemorrhagic moyamoya disease.

关 键 词：烟雾病 血管重建术 颅内出血 预后 

分 类 号：R651.12[医药卫生—外科学]