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目的：分析研究脊髓血管畸形的临床特征与影像学分类的相关关系。材料和方法：收集了６２例经Ｍ ＲＩ、ＤＳＡ和（或）手术病理证实的髓血管畸形患者，其中髓内隐匿型动静脉畸形（ＡＶＭＳ） １３例、球形ＡＶＭｓ ５例、幼稚型ＡＶＭＳ １２例：髓周膜内动静脉瘘（ＡＶＦ） Ｉ型 Ⅱ例、血型 １２例、 Ⅲ型 ７例；硬膜型 ＡＶＦ８例。结果：脊髓 ＡＶＭｓ中，隐匿型ＡＶＭｓ无明显的性别差异，余各类型男性均多于女性；髓内ＡＶＭＳ、髓周ＡＶＦ以青少年多见，硬膜型ＡＶＦ发生于中老年；髓内ＡＶＭｓ多见于颈髓及胸腰段脊髓，髓周ＡＶＦ及硬膜型ＡＶＦ多见于胸腰段；髓内ＡＶＭｓ以急性起病多见，髓周ＡＶＦ表现为进行性加重，少数可急性发作，硬膜型ＡＶＦ以慢性起病多见；髓内出血者预后较无出血者差。结论：根据临床症状、起病特征可初步判断病变类型，争取早期正确诊断、早期治疗，为减轻临床症状提供条件。
Objective: To analyze the correlation between clinical features and imaging classification of spinal vascular malformations. MATERIALS AND METHODS: Sixty-two patients with medullary vascular malformation confirmed by M RI, DSA and / or surgical pathology were collected, including 13 cases of intramedullary invisible AVM, 5 cases of spherical AVMs and 12 cases of naive AVMS : Intramedullary membrane arteriovenous fistula (AVF) type Ⅱ Ⅱ cases, 12 cases of blood type, 7 cases of type Ⅲ; dura AVF8 cases. Results: AVMs in the spinal cord showed no significant gender differences in AVMs, more than the other types of males; intramedullary AVMS and perivenous AVF were more common in adolescents, and AVF in dura mater occurred in middle-aged and elderly patients. Intramedullary AVMs were more common in Cervical spinal cord and thoracolumbar spinal cord, AVF and dural AVF more common in the thoracolumbar; intramedullary AVMs more common onset, periventricular AVF showed progressive aggravating, a few can be acute attack, dural AVF Chronic onset of more common; prognosis of intramedullary hemorrhage worse than no bleeding. Conclusion: According to the clinical symptoms and onset features, the type of lesions can be preliminarily determined, and the correct diagnosis and early treatment can be obtained in the early stage and the conditions can be relieved to alleviate the clinical symptoms.