47例烟雾病手术疗效分析

发布时间：2018-06-18 09:32

本文选题：烟雾病 + 间接血管重建术　；参考：《中南大学学报(医学版)》2017年06期

【摘要】：目的:回顾性分析经手术治疗的烟雾病患者的临床资料,评价手术疗效。方法:2010年8月至2015年8月共47例53侧烟雾病患者进行了间接或联合颅内外血管重建手术治疗,因2013年8月后改进了手术方法,故依此时间点将患者分为手术方法改进前组和改进后组,再根据术式的不同,进一步将患者分为间接手术亚组和联合手术亚组,并比较其疗效。结果:77.4%的患者通过颅内外血管重建手术可以改善脑缺血,手术方法改进前组和改进后组的手术疗效和术后并发脑卒中率差异有统计学意义(P0.05),而2组内采用不同术式的手术疗效差异无统计学意义(P0.05)。结论:通过缩短烟雾病的手术时间和延期手术可以明显提高手术疗效和降低术后脑卒中发生率;而采用不同的术式疗效并无明显差异。
[Abstract]:Objective: to retrospectively analyze the clinical data of patients with moyamoya disease. Methods: from August 2010 to August 2015, 47 patients with 53 sides of moyamoya disease underwent indirect or combined intracranial and external vascular reconstruction. According to this time point, the patients were divided into two groups: the group before and after the operation method was improved, and the patients were further divided into the subgroup of indirect operation and the group of combined operation according to the different operation methods, and the curative effect was compared. Results 77.4% of the patients were able to improve cerebral ischemia by reconstructing external intracranial vessels. There were significant differences in the operative effect and the incidence of stroke after operation between the two groups, but there was no significant difference between the two groups in the effect of operation with different operation methods (P 0.05). Conclusion: by shortening the operation time and delaying the operation of moyamoya disease, the curative effect can be improved and the incidence of postoperative stroke can be reduced, but there is no significant difference in the effect of different operation methods.
【作者单位】：中南大学湘雅医院神经外科;中南大学湘雅医院手术室;
【分类号】：R651.12

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