摘要
目的:探讨硬脊膜动静脉瘘的诊断与手术治疗方法。方法:回顾性分析39例硬脊膜动静脉瘘患者的临床资料、治疗方式及术后转归。结果:39例患者脊髓MRI和选择性脊髓血管造影确诊,均行显微手术治疗。术后行脊髓血管造影复查,显示瘘口全部消失。29例患者术后6个月行脊髓MR复查,显示脊髓周围的血管流空影完全消失,T2像髓内高信号影消失或明显减少。39例患者获随访,随访时间3～18个月,37例症状改善,2例无变化,未见复发。结论:脊髓MRI和选择性血管造影是确诊硬脊膜动静脉瘘的方法,显微手术治疗疗效确切。
Objective： To explore the diagnosis and microsurgical treatment of spinal dural arteriovenous fistula（SDAVF）.Methods： The clinical data of 39 patients with spinal dural arteriovenous fistula treated with microsurgery were analyzed retrospectively.Results： The 39 patients with SDAVF were diagnosed by spinal MRI and spinal angiography,treated with microsurgery.Complete disappearance of SDAVF was confirmed in 39 patients who received postoperative spinal angiography.Spinal MRI at 6 months after surgery in 29 cases showed paramedullary tortuous flow voids disappeared and intramedullary high signal disappeared or decreased obviously.Follow up of 39 patients for 3~18 months showed improvement in 37,and no change in 2,and no recurrence occurred.Conclusions： Spinal MRI is a helpful diagnostic measure and spinal angiography is a definitive diagnostic measure to locate the site of the dural arteriovenous fistula.Surgical treatment is effective for patients with SDAVF.
出处
《赣南医学院学报》
2009年第6期875-877,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
硬脊膜动静脉瘘
诊断
显微手术治疗
spinal dural arteriovenous fistula
diagnosis
microsurgery treatment
