论文部分内容阅读
目的:探讨脊髓血管畸形的临床特征、分型、诊断、治疗和预后。方法:1991年1月~2003年7月收治经MRI、DSA和(或)术后病理证实的脊髓血管畸形(AVM)59例。其中硬脊膜动静脉瘘(SDAVF)18例,膜内髓周动静脉瘘(PMAVF)12例,髓内动静脉畸形(SCAVM)29例。手术切除37例,单纯血管内栓塞治疗13例,先血管内栓塞后再手术6例,未治疗3例。结果:经治疗的56例治愈16例,明显好转17例,稳定18例,加重5例。结论:根据临床症状、影像检查可初步判断脊髓血管畸形的病变类型,选择相应治疗方案,早期治疗效果好。
Objective: To investigate the clinical features, classification, diagnosis, treatment and prognosis of spinal vascular malformations. Methods: From January 1991 to July 2003, 59 cases of spinal vascular malformation (AVM) confirmed by MRI, DSA and / or postoperative pathology were treated. There were 18 cases of SDAVF, 12 cases of PMAVF and 29 cases of intramedullary arteriovenous malformation (SCAVM). Surgical resection in 37 cases, simple endovascular embolization in 13 cases, first after embolization in the first surgery in 6 cases, untreated in 3 cases. Results: The treated 56 cases were cured in 16 cases, markedly improved in 17 cases, stable in 18 cases, aggravated in 5 cases. Conclusion: According to the clinical symptoms and imaging examination, the type of the lesion of the spinal vascular malformations can be initially determined. The corresponding treatment options are selected, and the early treatment effect is good.