Direct anastomotic bypass for cerebrovascular moyamoya disease.
Direct anastomotic bypass for cerebrovascular moyamoya disease.
复制标题
脑血管烟雾病的直接吻合搭桥术。
DOI：
10.2176/nmc.38.suppl_294
复制
发表时间：
1998
影响因子：
1.9
通讯作者：
Haruhiko Kikuchi
中科院分区：
文献类型：
--
作者：
S. Miyamoto;Izumi Nagata;N. Hashimoto;Haruhiko Kikuchi
评价脑血管烟雾病外科治疗的疗效及存在的问题。近15年来，我科共收治烟雾病268例。其中，238例患者出现缺血症状。大多数病例采用了颞浅动脉-大脑中动脉吻合联合颞肌移植(脑肌联合血管成形术)。完全缓解率为34.0%，临床改善率为64.2%。5例(1.9%)术后出现缺血并发症加重症状。全身麻醉期间控制正常的二氧化碳浓度和充分的水合是避免围手术期缺血并发症的关键。16例患者行大脑皮层移植。13例因大脑后动脉或大脑前动脉分布进行性缺血而行大网膜移植。在其他三名患者中，大网膜移植用于明显的脑萎缩。
Therapeutic result and pitfalls in the surgical treatment of cerebrovascular moyamoya disease are evaluated. During the recent 15 years, 268 patients with moyamoya disease have been treated in our clinic. Among them, 238 patients showed ischemic symptoms. Superficial temporal artery to middle cerebral artery anastomoses combined with temporal muscle grafting (encephalo-myo-synangiosis) were performed for most of the cases. Complete remission and clinical improvement were obtained in 34.0% and 64.2% of the patients, respectively. Symptomatic aggravation due to ischemic complication followed the operation in five patients (1.9%). Normocapnic control during general anesthesia with sufficient hydration is essential to avoid perioperative ischemic complications. Omental graft was performed in 16 patients. In 13 patients, omental graft was performed for the progressing ischemia in the posterior cerebral artery or anterior cerebral artery distribution. In the other three patients, omental graft was used for marked brain atrophy.
影响因子：
4.1
作者：
Kawaguchi, T;Fujita, S;Tamaki, N
通讯作者：
Tamaki, N