儿童烟雾病临床特点及外科治疗分析

Clinical Analysis and Surgical Therapy of Moyamoya Disease in Children

以天坛医院 1986— 2 0 0 2年间收治的 6 8例儿童烟雾病患者为样本 ,分别采用 4种术式治疗。应用统计学方法对4种术式的疗效进行对比分析。结果 :采用 4种术式治疗儿童烟雾病疗效均可以接受。经统计学处理发现 ,上述手术方式的临床效果之间的差异无统计学意义。提示 :对于确有较严重的缺血症状的患者 ,宜选用安全、简便、创伤小的手术方式 ;同时还需进行烟雾病的病因学探索 ,力求找到更合理。

The research was based on 68 cases of moyamoya disease in ch ildren between 1986 and 2002 in Tiantan Hospital and they received operations th r ough four kinds of surgical methods at random. Comparison and analysis of the th erapeutic effects of four operative methods of cerebral revascularization were m ade through statistics methods. The result showed that all of the surgical me thods in the research were effective. However, there was no significant differen ce between these surgical methods as far as therapeutic effects were concerned. Fu rthermore, it suggests that it is necessary to select convenient, safe dimin-v ulnerarious surgical methods for patients. The researcher must try their utmost to explore the etiology of MMD to find reliable and effective therapies.