摘要
目的总结成人烟雾病的诊治经验。方法回顾性分析60例烟雾病病例资料,其中52例行直接血运重建术,包括44例缺血型烟雾病和8例出血型烟雾病;8例出血型烟雾病行间接血运重建术。结果术后新发言语功能障碍7例(24 h CT示:新发梗死灶3例,无异常4例),头晕头痛症状8例,一侧肢体运动功能轻度障碍2例(CT示:术区少量硬膜下出血1例);癫疒间部分性发作1例,对侧肢体麻木2例,以上病人均经对症治疗与观察后好转。术后对侧出现大面积脑梗死1例,术后2周死亡。结论缺血性症状为本研究所观察成人烟雾病的术后主要并发症。
Objective To summarize the experience of diagnosis and treatment of adult moyamoya disease.Methods The clinical data of 60 patients with moyamoya disease were analyzed retrospectively,of which 52 cases underwent direct intracranial vascular reconstruction,including 44 of ischemic moyamoya disease and 8 of hemorrhagic moyamoya disease;8 of hemorrhagic moyamoya disease underwent indirect vascular reconstruction.Results There were 7 cases of new speech dysfunction(24 h CT showed 3 cases of new infarct,4 cases without abnormality),8 of dizziness and headache symptoms,2 cases of mild motor dysfunction of one limb(CT showed 1 case with a small amount of subdural hemorrhage in the operation area),1 case of partial seizure and 2 of contralateral limb numbness.The above patients all were improved after symptomatic treatment.A large area of contralateral cerebral infarction occurred in 1 case after operation,and died 2 weeks after operation.Conclusions The ischemic symptoms are the main postoperative complication of adult moyamoya disease in this study.
作者
王协锋
颜伟
朱乾渺
骆慧
路华
吴伟
Wang Xiefeng;Yan Wei;Zhu Qianmiao;Luo Hui;Lu Hua;Wu Wei(Department of Neurosugery.The frst Afliated Hospital of Nanjing Medilal Universit,Najing,Jiangsu 210029,China)
出处
《中国微侵袭神经外科杂志》
CAS
2020年第4期161-163,共3页
Chinese Journal of Minimally Invasive Neurosurgery
基金
江苏省高等学校自然科学研究面上项目(编号:17KJB320002)。
关键词
脑底异常血管网病
颅内出血
脑梗死
脑血管重建
moyamoya disease
intracranial hemorrhage
cerebral infarction
cerebrovascular reconstruction
作者简介
通讯作者:吴伟,Email:nanjingwuwei468@sina.com。
