经动脉入路结合球囊辅助技术Onyx胶栓塞硬脑膜动静脉瘘的临床研究.docVIP

经动脉入路结合球囊辅助技术Onyx胶栓塞硬脑膜动静脉瘘的临床研究 ［ ］H的探宄?动脉入路结合球囊辅助技术介入栓塞硬脑膜动 静脉瘘（DAVFs）在技术上的安全性及疗效的确切性。方法选择广东 省江门市中心医院2013年1月?2016年4月收治的22例DAVFs患者 作为研究对象。根据病情和影像特征，将患者分为观察组（12例）和 对照组（10例）。观察组包含8例经动脉入路和4例经静脉入路，均 采用球囊辅助技术进行栓塞，对照组包含6例经动脉入路和4例经静 脉入路，均单纯用Onyx胶栓塞方法。术后随访观测患者并发症情况和 DAVFs的瘘口闭塞及复发情况。结果观察组和对照组各1例患者出 现并发症。所有患者没有神经功能损伤、严重脑梗死等情况，生存率 为100%。观察组12例全部栓塞，复发率为8. 33%;对照组全部栓塞8 例，1例次全栓塞，1例部分栓塞，复发率为20. 00%。两组复发率比 较，差异有统计学意义（P〈0.05）。结论经动脉入路结合球囊辅助 技术Onyx胶栓塞硬脑膜动静脉瘘能够提高治愈率，值得临床推广应 用。 和著作权归原 所右，如存不 愿意被转载的情况， 己 如果需要分享， 请保留本段说明。 ［关键词］动脉入路；静脉入路；硬脑膜动静脉瘘；球囊辅助技术; Onyx 胶 ［ ］R651.12 ［ ］A ［ ］1673-7210 (2016) 12 (a) -0055-04 Artery approach combined with balloon assistive technology Onyx glue occluding dural arteriovenous fistulas LI Xiaohuil HUANG Gel FENG Zhengjianl WU Yuhong2 WU Yil LI Zhibinl 1.Department of Neurosurgery, the Central Hospital of Jiangmen , Guangdong Province , Jiangmen 529030 , China ； 2. Department of Cardiovascular , the Central Hospital of Jiangmen, Guangdong Province, Jiangmen 529030， China ［Abstract］ Objective To explore the curative effect and security of occluding dural arteriovenous fistulas (DAVFs) via artery approach combine with the balloon assisted technique and Onyx glue. Methods From January 2013 to April 2016, a total of 22 patients with DAVFs in the Central Hospital of Jiangmen were selected. According to the illness and imaging characteristics, those patients were divided into the observation group (n=12) and the control group (n=10) . The patients in the observation group were occluded by balloon assisted technique, including 8 cases via artery approach and 4 cases via vein approach. The patients in the control group were only occluded by Onyx glue， including 6 cases via artery approach and 4 cases via vein approach. Complications, occlusion and relapse of the fistula after operation were observed by follow—up visit. Results 1 patient had complications in the observation group as well as 1 patient had complications in the control group. All of the patients h