烟雾病脑血管重建术围手术期管理  

Perioperative management of cerebral revascularization of moyamoya disease

作　　者：张果 秦小宏 程荆 丁锐 张文斐[1] 吴立权[1] 陈治标[1] ZHANG Guo;QIN Xiaohong;CHENG Jin;DING Rui;ZHANG Wenfei;WU Liquan;CHEN Zhibiao(Department of Neurosurgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院神经外科,430060

出　　处：《临床外科杂志》2023年第11期1104-1106,共3页Journal of Clinical Surgery

基　　金：国家自然科学基金项目(82201515);湖北省自然科学基金青年项目(2021CFB057)。

摘　　要：烟雾病(moyamoya disease,MMD)是一种选择性累及颈内动脉床突上段的双侧狭窄闭塞性疾病,并继发颅底异常血管网形成。颅内外血管重建手术是烟雾病的主要治疗方法,其手术技巧要求高,发生并发症的风险大。本文从手术指征、手术时机、病人管理、血管重建手术方式及术后并发症等方面探讨烟雾病脑血管重建术的围手术期管理。Moyamoya disease(MMD)is a bilateral stenosis occlusional disease that selectively affects the superior segment of clinoid of the internal carotid artery with secondary abnormal vascular network formation at the base of the skull.Intracranial and extracranial vascular reconstruction is the main treatment of moyamoya disease.However,moyamoya disease revasectomy still faces many challenges,with high requirements of surgical techniques and high risk of complications.In this paper,the perioperative management of cerebrovascular reconstruction in moyamoya disease was discussed in terms of surgical indications,surgical timing,patient management,surgical methods of cerebrovascular reconstruction and postoperative complications,so as to provide reference for improving the prognosis of patients.

关 键 词：烟雾病 脑血运重建术 脑高灌注综合征 围手术期 

分 类 号：R651.12[医药卫生—外科学]