颅内外血管重建术治疗烟雾病.pdfVIP

主堡登丝窆E登苤查垫!堡生!旦筮!Q鲞箜!塑鱼垡!』堕!!塑!!垡，里!!坐!翌!鱼!堡：!!!．垫，盟!：! ．脑血管病． 颅内外血管重建术治疗烟雾病 靳峰冯嵩 张浩韩光魁郭强 王嵘 张东 【摘要】 目的 探讨颅内外血管重建术治疗烟雾病的临床疗效和治疗经验。方法 收集 2011年3月至2012年12月济宁医学院附属医院神经外科收治的28例烟雾病患者，其中缺血型 22例，出血型6例，所有患者均接受颅内外血管重建术的治疗。结果23例患者术后临床症状消失， 3例患者术后临床症状好转，2例患者因并发脑梗死术后神经功能较术前恶化。结论颅内外血管重 建术为烟雾病患者重新建立颅内血运，可降低患者再次发生脑梗死和脑出血的概率，临床效果满意， 是治疗烟雾病的有效方法。 【关键词】 脑血管重建术； 脑底异常血管网病 Treatmentof diseaseextracranial-intracranialrevascularization fin Moyamoyaby Feng4，Feng Song，ZhangHao，HanGuangkui，GuoQiang，耽圯Rong，ZhangDong．+DepartmentofNeurosurgery， Medical AffiliatedHospitaloffining University，Jining272029，China To theclinical and ofextracranial—intraeranial 【Abstract】0bjectiveexplore efficacyexperiences revascularizationforthetreatmentof disease．MethodsClinicaldataof28 with Moyamoya patients diseasewere forlTlMarch2011 toDecember 22casesof Moyamoya analyzedretrospectively 2012．including ischemiclesion．6easeof lesion．all receivedextraeranial—intracranialrevascularization hemorrhagepatients treatment．Results23 hadexcellent after incidenceoftransientischemic recovery patients surgery．the attackandcerebral were clinical were in3 hemorrhageobviouslyreduced；thesymptomsimprovedpatients； the functionof 2 deterioratedbecauseof thecerebralinfarction． neurologic patients ConclusionsExtracranial—intracranialrevascularizationCallre—establishthebloodcirculationfor Moyamoya disease therecurrenceofcerebralinfarctionandcerebral patients，reduce hemorrhage．Extracrani