颅内深部小型动静脉畸形的血管内介入治疗-中华临床医师杂志.PDF

·8624 · 中华临床医师杂志( 电子版)2013 年10 月第7 卷第19 期 Chin J Clinicians(Electronic Edition),October 1,2013,Vol.7,No.19 ·临床论著· 颅内深部小型动静脉畸形的血管内介入治疗 李明昌 陈谦学 王军民 陈华云 冀保卫 吴立权 【摘要】 目的 探讨颅内深部小型动静脉畸形血管内介入治疗的安全性及临床效果。方法 回顾分析 12 例颅内深部小型动静脉畸形患者采用血管内介入治疗的临床资料，其中畸形位于基底节区 6 例，丘脑- 基底节区4 例，小脑上蚓部2 例；采用Onyx 或NBCA 进行栓塞治疗。结果 完全栓塞7 例（58.3% ），次 全栓塞 3 例（25% ），部分栓塞2 例（16.7%），残余畸形者行伽玛刀治疗，随访3 个月至2 年，平均 12 个月，无严重并发症及死亡病例。结论 颅内深部小型动静脉畸形根据具体情况采用血管内介入栓塞， 能收到满意的效果，但栓塞率和畸形血管构筑、供血动脉多少以及血管条件相关。 【关键词】 颅内动静脉畸形； 栓塞，治疗性； 丘脑； 基底节区 Embolization of small deep intracranial arteriovenous malformation LI Ming-chang, CHEN Qian-xue, WANG Jun-min, CHEN Hua-yun, JI Bao -wei, WU Li-quan. Department of Neurosurgery, Renmin Hospital of Wuhan Univerisity, Wuhan 430060, China Corresponding author: CHEN Qian-xue, Email: chenqx666@ 【 】 To explore the safety and efficiency of interventional embolization of small deep Abstract Objective intracranial arteriovenous malformation. Methods Twelve cases with small deep intracranial arteriovenous malformation were treated by interventional embolization with Onyx or NBCA. Among them, 6 located at basal ganglion, 4 at thalamus and basal ganglion area and 2 in upper cerebellum. Results Total obliteration was achieved in 7 cases(58.3%), subtotal obliteration was achieved in 3 patients(25%) and other 2 cases were obliterated partially. For patients with residual deformity, gamma knife was performed. There were no severe complications and death in our series. Conclusion Interventional embolization is an accessible treatment for small deep intracranial arteriovenous malformation, the rate of embolization depends on the architectur