术中多模式监测预测烟雾病患者脑血管重建术后脑过度灌注综合征  

Multimodal intraoperative monitoring for the prediction of cerebral hyperperfusion syndrome following cerebral revascularization in patients with moyamoya disease

作　　者：陈鹏宇 刘希光 Chen Pengyu;Liu Xiguang(Department of Neurosurgery,Lianyungang Clinical Medicine of Nanjing Medical University,Lianyungang 222000,China)

机构地区：[1]南京医科大学连云港临床医学院神经外科,连云港222000

出　　处：《国际脑血管病杂志》2024年第3期221-226,共6页International Journal of Cerebrovascular Diseases

摘　　要：烟雾病是一种以颈内动脉末端进行性狭窄,继发颅底异常血管网形成的脑血管病。目前主要通过行颞浅动脉-大脑中动脉旁路移植术以增加脑部血流量,进而改善患者症状。脑过度灌注综合征(cerebral hyperperfusion syndrome,CHS)是脑血管重建术后的一种常见并发症,可导致短暂性神经功能事件和颅内出血等更严重的并发症。因此,通过术中多模式监测预测CHS的发生对改善患者转归非常重要。文章对预测CHS的各种常用术中监测技术进行了综述。Moyamoya disease is a cerebrovascular disease characterized by progressive stenosis of the distal end of the internal carotid artery,followed by the formation of an abnormal vascular network in the skull base.At present,the main treatment approach is to perform superficial temporal artery to middle cerebral artery bypass grafting to increase cerebral blood flow and improve the symptoms of patients.Cerebral hyperperfusion syndrome(CHS)is a common complication after revascularization,which can lead to more severe complications such as transient neurological events and intracranial hemorrhage.Therefore,predicting the occurrence of CHS through multimodal intraoperative monitoring is crucial for improving the outcomes of patients.This article reviews various common intraoperative monitoring techniques for predicting CHS.

关 键 词：烟雾病 脑血管重建术 手术后并发症 监测 手术中 脑血管循环 

分 类 号：R651.1[医药卫生—外科学]