摘要
目的 探讨烟雾病合并颅内动脉瘤的临床特点 ,以提供临床治疗依据。方法 回顾性分析 10例烟雾病合并颅内动脉瘤患者的临床表现、动脉瘤位置及治疗方法。结果 10例中 8例表现为颅内出血 ,2例表现为缺血症状 ;8个动脉瘤位于Willis环周围 ,1个位于基底节 ,1个位于椎动脉 ;其中 6例 (7个动脉瘤 )行外科治疗 ,均获良好疗效。结论 烟雾病合并动脉瘤根据其位置的不同 ,可分为累及Willis环的动脉瘤和累及侧支或烟雾病血管的动脉瘤。建议对Willis环周围的动脉瘤进行外科手术治疗 。
Objective To analyze the clinical characteristics of intracranial aneurysms associated with Moyamoya disease,and to provide evidence for clinical treatment.Methods A retrospective analysis about the clinical symptoms,distribution of aneurysms and surgical procedures of 10 patients with aneurysms associated with Moyamoya disease is presented.Results Among the 10 patients,the clinical manifestations of 8 cases were intracranial hemorrhage,and of 2 cases were ischaemic events.Distribution of the 10 aneurysms was:8 around the circle of Willis,1 in the basal ganglia,1 in the vertebral artery.6 cases (7 aneurysms) were under surgical procedures,and had a favorable outcome.Conclusions According to the distribution of the aneurysms,intracranial aneurysms associated with Moyamoya disease are classified into two groups:those involving the circle of Willis and those located within the collateral or Moyamoya vessels.We recommend direct surgical procedures for aneurysms around the circle of Willis,and reservative treatment for aneurysms found in the basal ganglia or on the collateral vessels.
出处
《北京医学》
CAS
北大核心
2003年第3期155-157,共3页
Beijing Medical Journal
基金
国家自然科学基金资助项目 (批准号 3 9970 749)
关键词
烟雾病
颅内动脉瘤
脑出血
手术治疗
Moyamoya disease Intracuanial aneurysm Irtracerebral hemorrhage
