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颈动脉狭窄并发烟雾病的治疗体会

Xuhua Cao,Zhizhao Ma,Haofeng Zhang,Liqun Wang

Journal of Brain and Nervous Diseases（2019）

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Abstract
目的 总结颈动脉狭窄并发烟雾病 (MMD) 患者的治疗的临床体会.方法 收集本科收治的10例颈动脉狭窄并发MMD行颈动脉内膜剥脱术 (CEA) 患者的临床资料, 探讨颈动脉狭窄并发MMD患者的治疗方法与疗效.结果 所有患者均行CEA, 术后5～7d复查头颈上胸段CT血管成像 (CTA) , 可见血流通畅, 患者临床痊愈出院.术后3个月随访患者, 所有患者症状消失, 未出现缺血性脑血管病相关症状.结论 颈动脉狭窄并发MMD患者如果颅内大脑前动脉或大脑中动脉正常存在, 则应考虑CEA, 以保证颅内正常血管的血供.
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Key words
Carotid artery stenosis,Moyamoya disease,Carotid endarterectomy
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