摘要
目的 探讨烟雾病（MMD）及烟雾病综合征（MMS）合并颅内动脉瘤的血管内介入治疗特点及经验.方法 回顾性分析了10年间采用弹簧圈栓塞以及应用Onyx胶闭塞载瘤动脉治疗的此种动脉瘤病例13例,积累临床经验.结果 13例中,成功进行血管内介入治疗11例,随访1-2年,预后良好.血管内介入治疗未成功者2例,其中随访至5个月时再出血死亡1例 随访2年时预后较好1例.结论 当MMD或MMS合并的动脉瘤破裂出血时应积极治疗,以介入治疗为首选,短期随访后有较好疗效.
Objective To study the therapeutic characteristics and experience of intracranial aneurysms associated with moyamoya disease （MMD） and moyamoya syndrome （MMS）. Methods 13 cases with intracranial aneurysms associated with MMD and MMS were treated by coiling and liquid embolic system （Onyx） during a 10-year period. After analyzing these cases, therapeutic characteristics and experience were summarized to make the diagnosis and treatment proper. Results Of 13 cases 11 cases got successful endovascular embolization, the postoperative follow-up period was from 1 to 2 years, the prognoses were uneventful. 2 cases experienced unsuccessful endovascular treatment, in which one died from rebleeding, the other was healthy during the 2 years follow-up period. Conclusions When intracranial aneurysms associated with MMD and MMS ruptured, It is necessary to adopt proper treatment for the cases.Endovascular treatment should act as the priority and good prognoses were often obtained.
出处
《中华神经外科杂志》
CSCD
北大核心
2010年第10期871-873,共3页
Chinese Journal of Neurosurgery
关键词
烟雾病
烟雾病综合症
颅内动脉瘤
血管内介入治疗
Moyamoya disease Moyamoya syndrome Intracranial aneurysm Endovascular treatment
