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脑-硬膜-动脉-颞肌贴敷术治疗烟雾病
引用本文:桂明,夏承东,杜向阳,韩飞.脑-硬膜-动脉-颞肌贴敷术治疗烟雾病[J].淮海医药,2013,31(5):389-391.
作者姓名:桂明  夏承东  杜向阳  韩飞
作者单位:桂明 (安徽省六安市中医院脑外Ⅱ科 237006); 夏承东 (安徽省六安市中医院脑外Ⅱ科 237006); 杜向阳 (安徽省六安市中医院脑外Ⅱ科 237006); 韩飞 (安徽省六安市中医院脑外Ⅱ科 237006);
摘    要:目的总结脑-硬膜-动脉-颞肌贴敷术治疗烟雾病的疗效。方法选择DSA全脑血管造影确诊烟雾病患者11例,采用脑-硬膜-动脉-颞肌贴敷术治疗,术后随访、复查DSA,观察临床疗效。结果随访3~24个月,11例患者均恢复良好,有3例2年内复查DSA见烟雾状血管较术前减少,可见颈外动脉向皮层动脉供血,余未复查DSA。结论脑-硬膜-动脉-颞肌贴敷术是治疗烟雾病的一种间接血管融合手术,手术相对简单,部分患者有一定的疗效。

关 键 词:烟雾病  脑-硬膜-动脉-颞肌贴敷术  治疗结果

Application of EDAMS in treatment of moyamoya disease
Institution:GUI Ming,XIA Cheng-dong,DU Xiang-yang,et al.(The Traditional Chinese Medicine Hospital of Lu'an,Anhui 237006,China)
Abstract:Objective To study the effect of Encephalo-Duro-Arterio-Myo-Synangiosis(EDAMS) method for the treatment of moyamoya disease.Methods 11 cases of moyamoya patients diagnosed with digital subtraction cerebral angiography(DSA) were chosen and treated with EDAMS method.All the patients were followed up after operation and their DSA reviewed.The clinical efficacy was observed.Results Follow-up(3~24 months) revealed all the 11 patients recovered well.Smog-like vessels decreased in three cases by DSA review two years after operation.External carotid artery blood was apparently supplied to the cortex.DSA retests were not conducted on other cases.Conclusion EDAMS is an indirect vascular fusion surgery for the treatment of moyamoya disease,which is relatively simple and has certain curative effect on some patients.
Keywords:Moyamoya disease  Encephalo-Duro-Arterio-Myo-Synangiosis(EDAMS)  Curative effect
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