烟雾病血运重建术后脑梗死的相关因素研究进展

Research progress on related factors of cerebral infarction after moyamoya disease revascularization

烟雾病是一种颅内血管进行性狭窄以致闭塞的慢性脑血管疾病,目前血运重建术越来越成为烟雾病患者的主要治疗方式,然而烟雾病术后并发症的发生率相对较高,尤以术后脑梗死为甚,这严重影响了患者的手术治疗效果和临床结局,也成了目前临床工作者所面临的较为棘手的问题和治疗的关注焦点,因此本文主要综述了近几年有关烟雾病血运重建术后导致脑梗死的相关影响因素及其作用机制,以期为烟雾病相关治疗方案提供参考。

Moyamoya disease is a chronic cerebrovascular disease with progressive intracranial vascular ste⁃nosis and occlusion.At present,revascularization is increasingly becoming the main treatment method for patients with moyamoya disease.However,the incidence of complications after moyamoya disease surgery is relatively high,es⁃pecially for postoperative cerebral infarction,which seriously affects the surgical treatment effect and clinical outcome of patients.This has also become a more difficult problem faced by clinical workers and the focus of treatment.There⁃fore,this article mainly reviews the relevant influencing factors and mechanisms of cerebral infarction after blood sup⁃ply reconstruction of moyamoya disease in recent years,with a view to providing reference for the relevant treatment plans of moyamoya disease.