间接脑血管重建手术治疗烟雾病

目的探讨间接血管重建手术治疗烟雾病治疗效果。方法23例经DSA证实为原发性烟雾病。5例采用脑-颞肌贴敷术（EMS），8例采用脑-硬脑膜-颞浅动脉贴敷术（EDAS），10例采用脑-硬膜-动脉-肌肉贴敷术（EDAMS）。结果23例患者随访6～56个月，平均25．2个月，均未再发生脑缺血或脑出血。15例术前有神经功能障碍的患者，术后恢复正常。23例术后复查DSA或MRA，除2例DSA与术前相同外，其余21例颅底异常血管网不同程度减少并伴侧支血管形成（改善率达91．3％）。结论间接血管重建手术治疗烟雾病安全、简便、有效。

Indirect revascularization for treatment of the moyamoya disease

Objective To evaluate the role of indirect revascularization for thetreamentr of the Moyamoya diease. Methods 23 patients with Moyamoya disease was conducted. All patients underwent DSA, and neurological and neuropsycological examinations pro-and- pest- operatively. An encephalomyosynangiosis （EMS） was proformed in 5 cases, and an encephaloduroarteriosynangiosis （EDAS） was proformed in 8 cases, and an encephaloduroarteriomyosynangiosis （EDAMS） was proformed in 10 cases. Results The mean period of follow-up after surgery was 25.2 months, with a range of 6-56 months. There was no recurrence of cerebral hemorrhage or ischemia in all cases. Pre-existed neurological deficits disappeared in 15 cases. Post-operao tive DSA or MRA showed the reductiont of abonmal basal vascular new and formation of collateral supply （ improvement rate 91.3% ） . Conclusion Indirect revasularization is a safe, effective and a simple measure for the treamentr of the Moyamoya didease.