高级别颅内动静脉畸形的治疗.docxVIP

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高级别颅内动静脉畸形的治疗

高级别颅内动静脉畸形的治疗策略及并发症防治(图文)刘方军,张永力,孙玉明,林达,周忠清,钱海,石祥恩来源:三博脑科-脑血管瘤网() 【摘要】 目的 探讨高级别颅内动静脉畸形(arteriovenous malforation, AVM)的治疗策略及并发症防治。方法 回顾性分析2008.8-2012.8在我科采用显微手术为主结合介入、放射方法治疗的13例高级别AVM 患者的临床资料。术中均应用自体血回吸收技术,2例术前行AVM部分栓塞,1例行分次手术,2例术后残留患者行伽马刀治疗。结果 无死亡病例,1例术前持续昏迷,术后轻度改善,其余病例均得到较好恢复。13例中全切 11 例,次全切 2例。结论 娴熟的显微神经外科技术、科学的个体化治疗方案的制定是取得高级别AVM良好疗效的重要因素。术前辅助行栓塞技术,术中应用自体血回收技术,术后放射治疗,可以降低并发症的发生。【关键词】 颅内动静脉畸形;显微手术;并发症;栓塞;自体血回吸收ABSTRACT Objective To investigate the treatment strategies and prevention of complications in patients with high-grade intracranial arteriovenous malformations(AVMs). Methods The clinical data of 13 patients with high–grade intracranial AVMs treated with microsurgery combined with embolization and/or radiosurgery from 2008.8 to 2012.8 in our department were analyzed retrospectively. Intraoperative autologous blood transfusion was performed in all patients. Preoperative embolizations were performed in two cases. Two-step procedures were performed in one case. Gamma knife was performed in two cases that were found residual nidus after operation. Results No death of these cases. One case with continued coma before operation was recovered a little. And the other cases were recovered very well. There were 11 cases of total remove of AVMs, and 2 cases of subtotal remove. Conclusions To obtain good effects in treatment of high-grade intracranial AVMs, skilled neurosurgery technique and well individualized plan are very important. Preoperative embolization, intraoperative autologous blood transfusion, postoperative radiation therapy can reduce the incidence of complications.Key words: Intracranial arteriovenous malformations; Microsurgery; Complications; Embolization; Autologous blood tranfusion高级别颅内动静脉畸形(arteriovenous malforation, AVM)是指Spetzinler-Martin分级Ⅳ-Ⅵ级的AVM[1]。2008.8-2012.8我科以显微外科手术技术为主要手段治疗13例高级别AVM,取得了良好的手术效果,现总结经验并结合文献报道如下。1对象与方法1. 1 一般资料本组13例,其中男9例,女4例,年龄10-28岁,平均19±5岁。主要症状:脑出血5例,癫痫5例,头晕2例,顽固性头痛1例。1. 2 影像学检查术前行头部CT、MRI、DSA(图1) 检查,均行功能MRI检查。右侧9例,左侧4例。

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