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    陆曼, 耿德勤. 烟雾病合并后循环病变的临床特征及预后分析[J]. 徐州医科大学学报, 2022, 42(6): 455-458. DOI: 10.3969/j.issn.2096-3882.2022.06.013
    引用本文: 陆曼, 耿德勤. 烟雾病合并后循环病变的临床特征及预后分析[J]. 徐州医科大学学报, 2022, 42(6): 455-458. DOI: 10.3969/j.issn.2096-3882.2022.06.013
    Clinical retrospective analysiswith moyamoya disease complicated with posterior circulation lesions[J]. Journal of Xuzhou Medical University, 2022, 42(6): 455-458. DOI: 10.3969/j.issn.2096-3882.2022.06.013
    Citation: Clinical retrospective analysiswith moyamoya disease complicated with posterior circulation lesions[J]. Journal of Xuzhou Medical University, 2022, 42(6): 455-458. DOI: 10.3969/j.issn.2096-3882.2022.06.013

    烟雾病合并后循环病变的临床特征及预后分析

    Clinical retrospective analysiswith moyamoya disease complicated with posterior circulation lesions

    • 摘要: 目的探讨烟雾病合并后循环病变患者临床特征、诊治及预后情况,提高对该疾病的认识。方法回顾分析2013年1月—2019年2月在徐州医科大学附属医院神经内科诊断和治疗的烟雾病合并后循环病变150例患者的临床资料。结果本组患者年龄分布在10~14岁和40~44岁2个高峰,各年龄段男女性别分布上无明显区别(P>0.05),其中14例(9.3%)有家族史;本组患者首发临床特征以短暂性脑缺血发作(70例,46.7%)和脑卒中(38例,25.3%)为主;所有患者均经DSA检查确诊且发现均有不同程度的代偿性供血;所有患者入院后均给予对症处理,其中134例行血管重建术;出院后随访24个月,无死亡病例,未发现严重并发症。结论通过分析烟雾病合并后循环病变的流行病学特点、临床及影像学特征,可辅助及早确诊和治疗。

       

      Abstract: ob<x>jective To discuss the clinical characteristics, diagnosis, treatment and prognosis of patients with moyamoya disease complicated with posterior circulation lesions, so as to improve the understanding of this disease. Methods The clinical data of 150 patients with moyamoya (disease complicated with posterior circulation lesions diagnosed and treated in the Affiliated Hospital of Xuzhou Medical University from January 2013 to February 2019 were retrospectively analyzed. Results In this group, there were two peaks in the age distribution of patients aged 10-14 years and 40-44 years, and there was no significant difference between male and female in each age group (P> 0.05).. There were 14 cases (9.3%) with family genetic history. In this group, the primary clinical features were transient ischemic attack (TISA) in 70 cases (46.7%) and stroke in 38 cases (25.3%). All patients were confirmed by DSA examination and found to have varying degrees of compensatory blood supply. All the patients received symptomatic treatment after admission, 134 of them underwent vascular revascularization, and were followed up for 24 months after discharge. No death cases were found and no serious complications were found. Conclusions Epidemiological, clinical and imaging characteristics of moyamoya disease with posterior circulation lesions to facilitate early diagnosis and treatment

       

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