烟雾病样血管病变全脑血管造影分析.pdfVIP

298 ClinicalMedicalJournalofChina，2007．Vol，14，No．3 中国临床医学2007年6月第14卷第3期 ·论著· ‘‘ 烟雾病样血管病变全脑血管造影分析 刘 俊 周 政 陈锦华 杨 辉 摘要 目的：探讨“烟雾病样”血管病变的脑血管造影(DSA)表现特征；方法：回顾分析43例经脑血管造影证实的“烟雾病样” 的单侧或双侧颈内动脉床突上段及大脑前、大脑中动脉狭窄变细或闭塞；(2)均表现为同侧或双侧颅底大片血管增生；(3)部分 病例颈内外动脉分支血管吻合支形成。结论：烟雾痛的DSA表现特征为双侧颈内动脉狭窄或闭塞，伴有大脑中动脉或前动脉 的狭窄或闭塞，颅底有不同程度异常增生的血管网，而单侧烟雾样血管病变则多有明确病因。成年人烟雾病以侧脑室出血和 脑出血多见，颈动脉狭窄可能导致颅内烟雾样血管改变，DSA是明确诊断的首选方法。 关键词烟雾病；脑血管造影 中国分类号R814．4文献标识码A ofCerebral for Disease-likeVascular LlUun Analysis 3 ZHOU AngiographyMoyamoya Abnormality CHEN YANGHui ThiraMi}￡一 Zheng Jinhua DepartmentofNeurosurgery，XinqiaoHospital，the Medical 400037 itary University，Chongqing Abstract thefeaturesof subtraction like 0bjective：Toexplore angiography(DSA)for digital moyamoya vascular abnormality．Methods：AreviewofthefeaturesofDSAwasconducted43 from retrospective amongpatientssuffering MMD-likevascular cases(93％)wereMMDand3 MMD-likevascularabnormaol— abnormality．40 definitely cases(7％)were causedother ofthe ity by diseases．AIl weretreated andtheclinicalfeatureswereintracerebralhemor— patients conservatively in26cases(60．5％)，intracerebraIischemiain14 headachein3 character— rhage cases(32．5％)andcases(7％)．Results：The isticsofDSAforallofthecases weredetected were：(1)Allcases extentssteno—occlusiveinthelater