[1]王伟伟,谢仕刚,刘渤,等.颞浅动脉贴敷术治疗儿童烟雾病的疗效分析[J].临床小儿外科杂志,2024,(04):367-371.[doi:10.3760/cma.j.cn101785-202403060-012]
　Wang Weiwei,Xie Shigang,Liu Bo,et al.Efficacy of superficial temporal artery dressing for Moyamoya disease in children[J].Journal of Clinical Pediatric Surgery,2024,(04):367-371.[doi:10.3760/cma.j.cn101785-202403060-012]
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颞浅动脉贴敷术治疗儿童烟雾病的疗效分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 期数: 2024年04 页码: 367-371 栏目: 论著 出版日期: 2024-04-01
Title:
Efficacy of superficial temporal artery dressing for Moyamoya disease in children
作者:
王伟伟1;  谢仕刚1;  刘渤1;  韩晓1;  岳喜赞1;  古龙1;  张东2;  王广宇1
1 山东大学附属儿童医院(济南市儿童医院)神经外科, 济南 250022;
2 首都医科大学附属北京天坛医院神经外科, 北京 100050
Author(s):
Wang Weiwei1;  Xie Shigang1;  Liu Bo1;  Han Xiao1;  Yue Xizan1;  Gu Long1;  Zhang Dong2;  Wang Guangyu1
1 Department of Neurosurgery, Municipal Children’s Hospital, Affiliated Children’s Hospital of Shandong University, Jinan 250022, China;
2 Department of Neurosurgery, Affiliated Beijing Tiantang Hospital, Capital Medical University, Beijing 100050, China
关键词:
烟雾病; 动脉;  外科学; 治疗结果; 儿童
Keywords:
Moyamoya Disease; Arteries;  Surgery; Treatment Outcome; Child
DOI:
10.3760/cma.j.cn101785-202403060-012
摘要:
目的 探讨颞浅动脉贴敷术治疗儿童烟雾病的临床疗效。 方法 回顾性分析2020年1月至2022年8月山东大学附属儿童医院神经外科收治的18例(28侧手术)烟雾病患儿临床资料,通过手术成功率、术后并发症发生率、临床症状改善情况及影像学变化等指标,评估颞浅动脉贴敷术治疗儿童烟雾病的临床疗效。 结果 18例患儿共完成28侧颞浅动脉贴敷手术,手术成功率100%;术后无一例出现新发脑出血、脑梗塞、癫痫发作等严重并发症,1例术后出现运动性失语、张口困难,1例首次手术后出现短暂言语不清、对侧手术后出现一过性面部抽动,1例术后因情绪激动出现右上肢一过性无力;均经对症处理或积极床旁康复治疗后好转。术后3个月颅脑CT血管造影及MRI提示出现新生血管,脑灌注明显改善。随访3~31个月,改良Rankin评分量表评级结果显示,0级 13例,1级3例,2级1例,4级1例。 结论 颞浅动脉贴敷术治疗低龄儿童烟雾病成功率高,并发症少,临床表现及脑血流改善明显,疗效确切。
Abstract:
Objective To explore the clinical efficacy of superficial temporal artery dressing for Moyamoya disease(MMD) in children. Methods From January 2020 to August 2022,the clinical data were retrospectively reviewed for 18 hospitalized MMD children at Affiliated Children’s Hospital of Shandong University.Clinical efficacies were evaluated by success rate,postoperative complication rate,improvements of clinical symptoms and changes of imaging features. Results A total of 28 operations were completed successfully.During hospitalization,there was no occurrence of such serious complications as cerebral hemorrhage,cerebral infarction or seizure.However,one child of motor aphasia failed to open mouth.One case of had brief slurred speech after an initial operation and developed transient facial tics after contralateral operation.And another child developed transient weakness of right upper arm due to emotional agitation.Cranial MRA after Month 3 hinted at neovascularization.Cerebral perfusion significantly improved.During a follow-up period of(3-31) month,mRS grade was 0 (n=13),1 (n=3),2 (n=1) and 4 (n=1). Conclusions For MMD in children,superficial temporal artery patching offers a high success rate,few complications,obvious symptomatic improvements and a definite efficacy.

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备注/Memo

收稿日期:2022-12-07。
通讯作者:王广宇,Email:wgywjc@163.com

更新日期/Last Update: 1900-01-01