联合脑血运重建治疗老年烟雾病患者的临床研究Analysis of the efficacy of combined cerebral revascularization in elderly patients with moyamoya disease—a single center retrospective study
梁浩;赵黎明;孙玉学;娄岳;张韶;刘阳;高涛;郭高超;栗超跃;
摘要(Abstract):
目的研究联合脑血运重建术治疗老年烟雾病患者临床效果。方法回顾性分析2017-01—2019-12河南省人民医院烟雾病诊疗中心收治的老年烟雾病患者(年龄>60岁)共52例,分为2组,联合脑血运重建组39例,保守治疗组13例,收集患者一般资料、临床特征、围术期并发症、神经功能并发症和改良Rankin量表(m RS)评分。结果长期随访后,联合脑血运重建组新发卒中5例(12.82%),保守治疗组新发卒中7例(53.84%);mRS评分改善情况:联合脑血运重建组33例(84.62%)明显改善,保守治疗组仅1例(7.69%);2组患者新发卒中事件(χ2=9.244,P=0.002)、mRS评分改善情况(χ2=4.675,P<0.001)差异均有统计学意义。结论联合脑血运重建术可明显改善老年烟雾病脑血流供应,降低mRS评分,提高老年烟雾病患者生活质量。
关键词(KeyWords): 烟雾病;老年人;联合脑血运重建;生活质量;新发卒中
基金项目(Foundation): 河南省医学科技攻关计划省部共建青年项目(编号:SB201902027)
作者(Authors): 梁浩;赵黎明;孙玉学;娄岳;张韶;刘阳;高涛;郭高超;栗超跃;
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