【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～2002年2月收治的出血型烟雾病患者53例，分为手术组(24例)以及保守治疗组(29例)。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著性(P>0.05)。 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(尤其是非直接搭桥手术)，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 treatment.Methods Total53hemorrhagic moyamoya disease patients were hospital-ized in our hospital from April1997to February2002.They were divided into two groups:in groupⅠthere were24patients，who received surgery therapy;in groupⅡthere were29patients，who only received conservative treatment.Their clinical and image data were retrived and retrospective calls on were carried out for all patients transversely from September to December2003.Results There are no significant difference between surgery and conservative treatment in present convalescent condition ......