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Moyamoya病可分为两种临床类型:少年型和成年型。虽然,这两型的血管影像相似,而目前对成年型是否是少年型发展结果问题,仍无明确答案。少年型病例几乎总是在儿童期脑缺血发作后确诊;而成年型常有颅内出血,很少发生脑缺血。在成年型Moyamoya病中,当主要动脉狭窄或穿通动脉异常扩大引起脑灌注除低时,不仅要进行颅内外血管吻合,而且要夹闭相应的动脉瘤并清除脑内血肿等。 本文作者分析55例接受手术治疗的成年型病例,对围手术期并发症(poc)的相关因素进行了探讨。55例成年(年龄>16岁)Moyamoya病人进行了99次手术,有8例出现PO血液动力学并发症:4例
Moyamoya disease can be divided into two clinical types: juvenile and adult. Although these two types of vascular images are similar, there is no definitive answer to the current question whether the adult type is a juvenile outcome. Juvenile cases are almost always diagnosed after a childhood ischemic attack; whereas adult patients often have intracranial hemorrhage with minimal cerebral ischemia. In adult Moyamoya disease, when the main arterial stenosis or abnormal enlargement of perforating artery cause cerebral perfusion in addition to low, not only for intracranial and extracranial vascular anastomosis, but also to close the corresponding aneurysm and the removal of intracerebral hematoma and so on. The authors analyzed 55 cases of adult patients undergoing surgical treatment and discussed the related factors of perioperative complications (poc). Ninety-five surgeries were performed in 55 patients (> 16 years of age) in Moyamoya patients and eight in PO hemodynamic complications: 4