疑似脑烟雾病患者全脑血管造影特征分析

Characteristics of aortocranial angiography for suspected moyamoya disease patients

目的 探讨疑似脑烟雾病患者全脑血管造影术的诊断情况. 方法 对46例疑似烟雾病患者行全脑血管造影术进行诊断及治疗,术后对诊断结果进行分析.结果 本组46例患者均顺利进行全脑血管造影术诊断,44例确诊为烟雾病,颅底出现典型异常血管网,2例颅底血管网未出现明显异常;大面积脑梗死7例,多发腔隙性脑梗死34例,梗死病灶累及双侧颈内动脉29例.结论 全脑血管造影可充分显示患者颅内血管病变情况,可供临床医师早期诊断,并根据患者病变情况选择最佳治疗方案.

Objective To explore the diagnosis conditions of aortocranial angiography for suspected moyamoya disease patients.Methods Forty-six suspected moyamoya diseasein patients were diagnosed and treated using aortocranial angiography and diagnostic results analyzed after operation.Results All 46 patients successfully underwent aortocranial angiography diagnoses, 44 ones were diagnosed as moyamoya disease whose skull bases showed typical abnormal vasoganglion, 2 ones didn＇t show abnormal vasoganglion in skull bases, 7 ones showed large-area cerebral infarction, 34 ones did multiple lacunar infarction, and 29 ones did infarction focus involving bilateral internal carotid arteries.Conclusion Aortocranial angiography could fully show intracranial vascular lesions and provide early diagnosis for clinicians in order to select optimal therapeutic schedule according to lesion status.