伴随烟雾病的颅内动脉瘤治疗进展

Progress in the Treatment of Intracranial Aneurysms Associated with Moyamoya Disease

烟雾病(MMD)合并动脉瘤在临床上并不多见,其发病机制较为复杂,受多种因素的影响,包括血流动力学的改变以及病理性的血管结构,这些病理及解剖学上的变化使得MMD相关动脉瘤的治疗变得困难且富有挑战性。尽管近年来显微外科及神经介入技术得到了飞速发展,但对于此类疾病的治疗方法仍未达成共识。本文通过阅读相关文献,对目前烟雾病合并动脉瘤的治疗现状进行综述。

Moyamoya disease ( MMD) complicated with aneurysms is rare in clinical practice. Many factors contribute to the pathogenesis of aneurysms associated with MMD, including hemodynamic changes and pathological vascular structure which make the treatment of aneurysms associated with MMD difficult and challenging. Although microsurgery and neurointervention techniques have been greatly developed in recent years, there is still no consensus on the treatment of such disease. This article reviews the current treatment strategy for aneurysms associated with moyamoya disease.