烟雾病临床治疗及术后并发症预测研究进展

Advances in Clinical Treatment and Postoperative Complication Prediction of Moyamoya Disease

烟雾病是一种严重困扰成人尤其是儿童发育的慢性脑血管疾病。临床现有治疗方法多以手术为主,辅以内科及中医治疗。但术后并发症的高发病率以及难预料性仍给予临床工作一定的困难。本文回顾了近年来国内外烟雾病临床治疗方法及预后评价,发现术后并发症的预测应作为烟雾病临床治疗的一个重要方向。围手术期的管理及监测有望成为提前预防及干预术后并发症的重要措施。

Moyamoya disease is a chronic cerebrovascular disease that seriously affects the development of adults, especially children. The existing clinical treatment methods are mostly surgery, supple-mented by internal medicine and traditional Chinese medicine. However, the high incidence and unpredictability of postoperative complications still make clinical work difficult. This paper re-viewed the clinical treatment methods and prognosis evaluation of moyamoya disease at home and abroad in recent years, and found that the prediction of postoperative complications should be an important direction of clinical treatment of moyamoya disease. Perioperative management and monitoring are expected to be an important measure for early prevention and intervention of postoperative complications.