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烟雾病临床表现有反复缺血发作、出血等。血管造影可发现双侧颈内动脉闭塞或狭窄,并有脑基底异常血管网形成。以往手术多采用全麻、血管搭桥术,通常危险性较大。作者使用多骨孔钻孔方法治疗Moyamoya病结果满意。临床资料:10例病人,男4例,女6例,平均年龄37.8岁(25～54岁)。其中6例有TIA,2例有脑梗塞,2例有脑室内出血。手术和脑室外引流方法一样,局麻下,切开头皮避免损伤颞线动脉,钻孔后打开硬膜和蛛网膜,保护好脑膜动脉。8侧行双侧手术,2侧行单侧手术,10人共钻43个骨孔,平均每侧半球钻2.1个骨孔。平均随访34.7个月。血管造影发现:41个骨孔在平均6.7月时有足量的新生血管形成,新生血管的灌注区
Moanyu clinical manifestations of repeated ischemic attacks, bleeding and so on. Angiography can be found in bilateral carotid artery occlusion or stenosis, and abnormal basal vascular network formation. In the past surgery and more use of general anesthesia, vascular bypass surgery, usually more dangerous. The authors used the method of multihole drilling to treat Moyamoya disease with satisfactory results. Clinical data: 10 patients, 4 males and 6 females, with an average age of 37.8 years (25 to 54 years old). Six of them had TIA, two had cerebral infarction, and two had intracerebral hemorrhage. Surgery and intraventricular drainage methods, under local anesthesia, cut the scalp to avoid damage to the temporal line artery, open the dura after drilling and arachnoid, to protect the meningeal artery. Bilateral bilateral surgery, 2 lateral unilateral surgery, 10 were drilled a total of 43 bone holes, the average hemispherical 2.1 per bone drilling. The average follow-up was 34.7 months. Angiography showed that 41 bone holes had an adequate number of neovascularization at an average of 6.7 months, and the perfusion area of neovascularization