Minimally invasive treatment of the patients with hemorrhagic moyamoya disease
10.3760/cma.j.issn.1008-6706.2015.14.002
- VernacularTitle:急诊微创穿刺清除血肿治疗烟雾病脑出血
- Author:
Liang BAI
;
Jun LI
- Publication Type:Journal Article
- Keywords:
Moyamoya Disease;
Cerebral Hemorrhage;
Surgical Procedures,Minimally;
Punctures
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(14):2084-2086
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effect of minimally invasive treatment of 24 patients with hemor-rhagic moyamoya disease.Methods The clinical features of onset,bleeding location of the lesions and the type,ther-apeutic results of minimally invasive treatment were studied retrospectively.Results 24 patients with hemorrhagic moyamoya disease spontaneous intracerebral hematoma who need to acutely remove the hematoma were examined by CT angiography ( CTA) .Emergency minimal invasive puncture was performed according to the result of CTA,and the role of CTA in operation was analyzed.In all 24 patients,most of them were cerebral hemorrhage breaking into ventri-cles,5 cases with intracranial aneurysm.In all the hemisphere of hemorrhage,dilatation and abnormal branching of the AchA and P-CoM were observed in 9 patients,superficial temporal artery.Conclusion Minimally invasive treat-ment of hemorrhagic moyamoya disease scheme is simple,practical and effective,the maneuverability is strong.
