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血管重建术已被用于治疗moyamoya病,其手术方式有以下几种:直接旁路如STA-MCA旁路(颞浅动脉-大脑中动脉吻合术);间接旁路如EDAS(脑硬膜血管连通术);EDAMS(脑-硬膜动脉-肌血管连通术)及网膜移植术;直接和间接旁路联合手术。这些手术均为神经组织提供了血供,从而减少了缺血发作。但是否能改善moyamoya病患儿包括智能状态、行为方式等总体效果尚无定论。该研究对34名患儿术后再缺血发作,临床症状及最终效果的观察。
Revascularization has been used to treat moyamoya disease in several ways: direct bypass such as STA-MCA bypass (superficial temporal artery-middle cerebral artery anastomosis); indirect bypass such as EDAS Connectivity); EDAMS (brain-dura arterio-muscular vascular connectivity) and omentum transplantation; direct and indirect bypass surgery. These procedures provide blood supply to the nerve tissue and reduce the number of ischemic attacks. However, there is no conclusive result on the overall effect of improving moyamoya disease, including the state of intelligence and behavior patterns. The study of 34 children with postoperative ischemic attack, clinical symptoms and the final result was observed.