影响单侧烟雾病临床预后的因素

张亚男; 薛静; 高培毅

中国临床医学影像杂志 ›› 2015, Vol. 26 ›› Issue (1) : 1-4.

论著

影响单侧烟雾病临床预后的因素

张亚男，薛静，高培毅

作者信息 +

Clinical prognostic factors in unilateral moyamoya disease

ZHANG Ya-nan, XUE Jing, GAO Pei-yi

Author information +

文章历史 +

摘要

目的：探讨影响单侧烟雾病（MMD）临床预后的相关因素，为判断预后并选择治疗方法提供一定帮助。方法：回顾性分析2008年4月—2013年12月经北京天坛医院确诊的单侧MMD患者51例，并对患者的临床资料、影像学指标及预后情况进行分析。结果：41例接受随访的患者中，脑梗死（CI）、短暂性脑缺血发作（TIA）及脑出血（CH）的预后改善与否不全相同（χ2=11.22，P<0.05），其中TIA组的预后优于CI组（P<0.05）。术前大脑后动脉（PCA）区域的相对平均通过时间（rMTT）延长的患者预后较好（P<0.05）。结论：临床分型及PCA区域的rMTT是影响预后的因素。

Abstract

Objective: To investigate clinical prognostic factors in unilateral moyamoya disease(MMD) and provide evidence in prognosis prediction and treatment selection. Methods: A restrospective analysis of 51 patients with unilateral MMD in Tiantan Hospital between April 2008 and December 2013 was performed. Clinical data, imaging indexes, and prognosis were analyzed. Results: Of the 41 follow-up patients, those cases with cerebral infarction(CI), transient ischemic attack(TIA) and cerebral hemorrhage showed different prognosis(χ2=11.22, P<0.05), of which the prognosis of TIA group was better than that of CI group(P<0.05). In addition, the prolonged relative mean transit time(rMTT) of posterior cerebral artery(PCA) area before operation was a better prognosis factor(P<0.05). Conclusions: The clinical classification and rMTT of PCA area are factors infecting prognosis.

导出引用

张亚男;薛静;高培毅. 影响单侧烟雾病临床预后的因素[J]. 中国临床医学影像杂志. 2015, 26(1): 1-4

ZHANG Ya-nan;XUE Jing;GAO Pei-yi. Clinical prognostic factors in unilateral moyamoya disease[J]. Journal of China Clinic Medical Imaging. 2015, 26(1): 1-4

中图分类号： Ｒ743 R814.43 Ｒ445.2