摘要
目的分析硬脊膜动静脉瘘的治疗效果，探讨其治疗方法。方法回顾性分析近3年来收治的11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11例患者中男10例，女1例。年龄33—67岁，平均53岁。所有患者均在脊髓血管造影后得到确诊。其中单纯手术治疗9例，栓塞治疗2例；所有患者术后症状得到不同程度的改善，改良Aminoff—Logue功能评分降低。11例随访6—24个月，未见复发症状。结论显微手术和血管内栓塞治疗硬脊膜动静脉瘘可以达到良好效果，部分病例采用血管内治疗须栓塞引流静脉近端。
Objective To evaluate the clinical outcome of patients with spinal dural arteriovenous fistulas （SDAVFs） who underwent surgery, catheter embolization, and discuss the treatment modality of SDAVF. Methods The clinical data about treatment and outcomes of 11 consecutive patients with spinal dural arteriovenous fistula treated from 2007 to 2010 were analyzed retrospectively. Results The male/ female ratio was 10/1. The range of patient age was from 33 to 67 years and the mean patient age was 53 years. Ali 11 cases were finally diagnosed with selectively spinal angiography. 9 cases underwent microsurgery, and 2 cases underwent endovaseular embolization. The clinical outcome was assessed by using the modified Aminoff Logue scale （ALS） for myelopathy. Improvement of spinal ruction oceured in all 11 patients after treatment. The follow - up was carried out in 11 patients for 6 - 24months and showed no recurrence. Conclusions Both endovascalar and surgical treatment of SDAVFs let to a good clinical outcome. Penetration of the glue into the draining vein is needed for permanent closure of the fistula in embolization of some selected cases of SDAVF.
出处
《中华神经外科杂志》
CSCD
北大核心
2012年第7期706-709,共4页
Chinese Journal of Neurosurgery
基金
武汉市科技局科技攻关计划重点基金资助项目（200960323130）
