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目的:分析出血型烟雾病病例的临床特征,探讨烟雾病出血的病因和治疗。方法:回顾性分析68例出血型烟雾病临床表现、脑血管造影特点及治疗方法。结果:68例病例以脑出血破入脑室居多,并发动脉瘤10例。内科保守治疗40例,其中8例再发出血死亡;手术治疗28例,术后未再出血,其中11例行清除血肿术,10例脑室外引流术,3例动脉瘤夹闭术,4例动脉瘤血管内栓塞术。结论:烟雾病应行全脑血管造影检查。烟雾病伴发动脉瘤是造成烟雾病出血的原因之一,位于Willis环的动脉瘤可行显微外科手术或血管内栓塞治疗。
Objective: To analyze the clinical features of haemorrhagic moyamoya disease and explore the etiology and treatment of moyamoya disease. Methods: A retrospective analysis of 68 cases of hemorrhagic moyamoya disease clinical manifestations, characteristics and treatment of cerebral angiography. Results: 68 cases of cerebral hemorrhage into the majority of ventricular rupture, aneurysm complicated by 10 cases. Conservative treatment of 40 cases of internal medicine, of which 8 cases of bleeding again died; surgical treatment of 28 cases, no recurrence after surgery, of which 11 cases were removed hematoma surgery, 10 cases of ventricular drainage, 3 cases of aneurysm clipping, 4 cases Aneurysm Endovascular embolization. Conclusion: Moyamoya disease should be performed by cerebral angiography. Moyamoya disease with aneurysm is one of the causes of moyamoya disease, Willis ring aneurysm feasible microsurgery or endovascular embolization.