[1]徐崇喜,刘翔浩,陈伍仟,等.显微手术联合术中血管造影治疗硬脊膜动静脉瘘[J].临床神经外科杂志,2020,17(04):388-391.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.006]
 XU Chong-xi,LIU Xiang-hao,CHEN Wu-qian,et al.Microsurgery combined with intraoperative angiography in treatment of dural arteriovenous fistula[J].Journal of Clinical Neurosurgery,2020,17(04):388-391.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.006]
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显微手术联合术中血管造影治疗硬脊膜动静脉瘘()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年04期
页码:
388-391
栏目:
动静脉瘘专题
出版日期:
2020-08-14

文章信息/Info

Title:
Microsurgery combined with intraoperative angiography in treatment of dural arteriovenous fistula
文章编号:
202004006
作者:
徐崇喜刘翔浩陈伍仟胡喻李进马骏鹏
610041 成都,四川大学华西医院神经外科
Author(s):
XU Chong-xi LIU Xiang-hao CHEN Wu-qian et al.
Department of Neurosurgery, West China Hospital of Sichuan University, Chendu 610041, China
关键词:
硬脊膜动静脉瘘杂交手术血管造影
Keywords:
spinal dural arteriovenous fistula(SDAVF) hybrid surgery digital subtraction angiography(DSA)
分类号:
R651.2
DOI:
DOI:10.3969/j.issn.1672-7770.2020.04.006
文献标志码:
A
摘要:
目的探讨显微手术联合术中脊髓血管造影检查治疗脊髓硬脊膜动静脉瘘的疗效和应用价值。方法回顾性分析四川大学华西医院神经外科2013年5月—2017年9月,采用显微手术闭塞瘘口同时行术中脊髓血管造影检查治疗的52例脊髓硬脊膜动静脉瘘患者的临床资料。结果在术中脊髓血管造影辅助下,52例患者术中达到100%的解剖治愈率。术后第7 d 43例患者(82.7%)的脊髓功能评分改善。术后50例患者(96.2%)随访6个月,Aminoff评分显示28例患者(56%)治愈,18例患者(36%)脊髓功能改善,4例患者(8%)脊髓功能无变化;无症状加重者。结论显微手术闭塞瘘口能有效治疗脊髓硬脊膜动静脉瘘,术中脊髓血管造影对准确判断是否完全闭塞瘘口和多个瘘口的存在有着极大地帮助。
Abstract:
To explore the curative effect of microsurgery combined with intraoperative myelography in the treatment of spinal dural arteriovenous fistula(SDAVF). Methods The clinical data of 52 patients, who diagnosed with SDAVF and underwent microsurgical occlusion of the fistulae, which assisted with the interoperative digital subtraction angiography(DSA) technique in West China Hospital from May 2013 to September 2017, were analyzed retrospectively. Results With the aid of interoperative DSA, 52 cases achieved 100% anatomical cure rate during operation, and 43 (82.7%) had improved spinal function score on the 7th postoperative day. Fifty patients(96.2%) were followed up for 6 months. The Aminoff Score showed that 28 patients(56%) were cured, 18(36%) had improved spinal function, and 4 (8%) had no change in spinal function, none patient developed any further symtoms. Conclusions Microsurgical occlusion of the fistulae can effectively treat SDAVF. The interoperative DSA is of great benefit to accurately estimate whether the fistula is completely occluded and the existence of multiple fistulas.

相似文献/References:

[1]陈寒春,王之敏,万意,等.寰枕交界区硬脊膜动静脉瘘的诊断与治疗(2例报告并文献复习)[J].临床神经外科杂志,2016,(06):454.
 CHEN Han-chun,WANG Zhi-min,WAN Yi,et al.Diagnosis and treatment of craniocervical junction spinal dural arteriovenous fistula(report of 2 cases and review of literature)[J].Journal of Clinical Neurosurgery,2016,(04):454.

更新日期/Last Update: 2020-08-18