摘要
目的探讨血管造影和动脉栓塞对肢体动静脉畸形的诊断、治疗价值。方法１１例肢体动静脉畸形行选择性动脉造影检查，对５例具有明显动静脉瘘的病人进行了１０次动脉栓塞治疗。栓塞时联合使用了包括鱼肝油酸钠在内的不同种类液态和固体栓塞材料。结果动脉造影明确了病变中静脉畸形和动静脉瘘何者为主，为分类和选择治疗方法提供了依据。２例栓塞后外科手术治疗，术中出血减少。３例单纯栓塞治疗的病变得到有效控制。结论动脉造影和栓塞是肢体动静脉畸形诊断治疗中的重要环节。
Purpose To study the diagnostic and therapeutic volume of artery angiography and embolization in extremity arteriovenous malformations(AVM). Methods 11 patients of AVM of extremities underwent arterial angiography. To treat the cases who had serious arteriovenous fistulas(AVF) within the AVM, therapeutic embolizations were performed in 5 cases for 10 times. Several liquid and solid embolization materials including sodium morrhuate were used. Results For determining whether varices or AVF was the main pathology present in the AVM, angiography was necessary which provided the basis for classification and therapeutic choice. 2 cases had embolization therapy were combined with surgical treatment. Bleeding was less during operation. 3 cases had embolization therapy alone and the symptom was controlled satisfactorily. Conclusion Arterial angiography and embolization therapy are key procedures for the diagnosis and treatment of extremity AVM. Sodium morrhuate can be used effectively as a liquid embolization material to treat extremity AVM.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1998年第8期555-556,共2页
Chinese Journal of Radiology
关键词
动静脉畸形
血管造影术
介入放射学
肢体
Arteriovenous malformations Embolization, therapeutic ExtremitiesAngiography, digital subtraction
