摘要
目的探讨脑动静脉畸形(cAVM)的血管内栓塞治疗效果及综合治疗。方法在DSA监视下,经股动脉穿刺插管应用血管内栓塞技术治疗cAVM 20例,栓塞剂为α-氰基丙烯酸正丁酯(NBCA)。结果6例达到完全或90%以上栓塞,10例60%～70%栓塞,4例50%左右栓塞。未能完全栓塞的14例中,4例接受手术治疗,其中3例痊愈,1例单侧肢体乏力,肌力Ⅲ级;6例接受立体定向放射治疗,2例痊愈,4例病灶缩小。结论血管内栓塞治疗cAVM的方法安全性好,损伤小,单纯栓塞可治愈部分cAVM,栓塞深部的供血动脉可降低手术的风险,并可减少cAVM体积使之适合放射治疗。血管内栓塞治疗是cAVM综合治疗的重要组成部分。
Objective To discuss the role of endovascular embolization in the treatment of cerebral arteriovenous malformations （cAVM）. Methods Twenty consecutive patients with AVM were treated with endovascular embolization under the guidance of digital subtractive angiography （DSA）. Results After the embolization, angiography showed that more than 90% complete obliteration was achieved in 6 cases, 60%～70% in 10 cases, and approximately 50% in 4 cases. Among 14 cases of uncomplete embolization, 4 underwent surgical removal including 3 cases with good outcome and 1 case of hemiplegia with muscular strength of degree m. The remaining 6 cases underwent stereotactic radiotherapy, where 2 had good outcome and 4 produced shrink sign of the nidus. Conclusion Endovascular embolization is an effective and relatively safe treatment for cAVM. Even if it can not offer a complete obliteration in some cases, endovascular embolization can decrease the feeding blood to the nidus, which facilitates the operation.
出处
《中华神经外科疾病研究杂志》
CAS
2008年第5期448-450,共3页
Chinese Journal of Neurosurgical Disease Research
关键词
脑动静脉畸形
栓塞
血管内治疗
Cerebral artefiovenous malformations
Embolization
Endovascular therapy
