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我是这样做的:烟雾病和烟雾综合征多骨孔手术的操作要点。

How I do it: operative nuances of multiple burr hole surgery for moyamoya disease and syndrome.

机构信息

Department of Neurosurgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium.

出版信息

Acta Neurochir (Wien). 2019 Jan;161(1):171-175. doi: 10.1007/s00701-018-3743-1. Epub 2018 Nov 24.

DOI:10.1007/s00701-018-3743-1
PMID:30474750
Abstract

BACKGROUND

Burr hole surgery for moyamoya disease and moyamoya syndrome is known to be an effective, versatile, and relatively simple revascularization technique. We will focus on the technical operative aspects of multiple burr hole surgery as we perform it in our center.

METHODS

Periosteal flaps are prepared and placed in a burr hole with beveled edge, after opening the dura and arachnoid membrane, in order to facilitate neovascularization into the ischemic cortex.

CONCLUSIONS

Burr hole surgery is a versatile treatment modality for moyamoya and moyamoya-like disease. Success can be maximized by having a meticulous operative technique.

摘要

背景

颅骨钻孔手术治疗烟雾病和烟雾综合征是一种有效的、多功能的、相对简单的血管重建技术。我们将重点介绍我们中心实施的多次颅骨钻孔手术的技术操作方面。

方法

在打开硬脑膜和蛛网膜后,用斜切缘准备骨膜瓣并放置在颅骨钻孔中,以促进新血管生成到缺血皮质。

结论

颅骨钻孔手术是治疗烟雾病和烟雾样疾病的一种多功能治疗方式。通过精细的手术技术,可以最大限度地提高成功率。

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Letter to the editor regarding "How I do it: operative nuances of multiple burr hole surgery for moyamoya disease and syndrome".致编辑的信:关于“我的做法:烟雾病和烟雾综合征多骨瓣开颅手术的手术细微差别”
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