手术治疗与保守治疗出血型烟雾病远期疗效对比【摘要】 目的 比较手术及保守治疗出血型烟雾病疗效的差异。 方法 选择1997 年 4 月～2025 年 2 月收治的出血型烟雾病患者 53 例，分为手术组以及保守治疗组。分析全部患者的临床、影像学资料，并对所有病例行横断面式随访调查。 结果 共随访到患者 36 例，发现两组患者目前恢复情况、再出血率以及缺血性症状发生率差异均无显着性。 结论 对于出血型烟雾病患者，针对于烟雾病本身的手术治疗，与保守治疗相比，并无明显优势，选择时应十分慎重。 关键词 烟雾病 出血型 长期随访 疗效评估 Long-term effects of surgical therapy and conservative treatment on moyamoya Di Fei，Zhao Jizong，Zhang Dong，et al. Neurosurgery Department，Tiantan Hospital，Beijing100050. 【Abstract】 Objective To judge if surgery therapy merely aimed at moyamoya disease itself is applicable for hemorrhagic moyamoya disease patients by analyzing and comparing the long term prognosis between groups of patients receiving conservative or surgery Total53hemorrhagic moyamoya disease patients were hospital-ized in our hospital from April1997to were divided into two groups:in groupⅠthere were24patients，who received surgery therapy;in groupⅡthere were29patients，who only received conservative clinical and image data were retrived and retrospective calls on were carried out for all patients transversely from September to There are no significant difference between surgery and conservative treatment in present convalescent condition，rate of re-hemorrhage and rate of ischemic symptom Surgery therapy should be chosen very cautiously for patients of hemorrhagic moyamoya disease. Key words moyamoya disease hemorrhagic long term follow up assessment of therapeutical effect 烟雾病是指双侧颈内动脉末端的特异性堵塞性疾病，患者于颅底出现大量细小的侧支循环血管，在血管造影时呈现为模糊不清的烟雾状，故称 moyamoya 病。其临床表现可分为缺血型与...
