儿童低级别脑动静脉畸形的治疗
摘要
目的探讨儿童低级别(Spetzler-Martin分级I~Ⅲ级)脑动静脉畸形(AVM)的治疗方法。方法2005年7月至2013年6月采取单一或综合模式治疗儿童低级别AVM42例,其中手术治疗27例(单一手术治疗24例,栓塞联合手术治疗3例),单一栓塞治疗4例,单-1刀治疗8例,栓塞联合1刀治疗3例。结果除2例手术后死亡外,其余40例随访12—52个月,平均25.2个月。25例手术治疗中,除2例复发外,23例AVM完全消除;4例单一栓塞治疗后3例AVM完全消除;8例单一γ刀治疗后AVM完全消除。结论儿童低级别AVM采取单一或综合模式治疗可有效消除病变,效果确切。
出处
《中国临床神经外科杂志》
2016年第5期294-296,共3页
Chinese Journal of Clinical Neurosurgery
参考文献13
-
1Smith ER, Butler WE, Ogilvy CS. Surgical approaches to vascular anomalies of the child's brain [J]. Curr Opin Neurol, 2002, 15(2): 165-171. 被引量:1
-
2Kiris T, Sencer A, Sahinbas E, et al. Surgical results in pediatric spetzler-martin grades Ⅰ - Ⅲ intracranial arterio- venous malformations [J]. Childs Nerv Syst, 2005, 21(1): 69-74. 被引量:1
-
3Schaller CSJ. Microsurgical results for small arteriovenous malformations accessible for radiosurgical or embolization treatment [J]. Neurosurgery, 1997, 40(4): 664-672. 被引量:1
-
4WinnHR,KliotM,LunsfordLD,等.尤曼斯神经外科学[M].王任直,译.第5版.北京:人民卫生出版社,2009:681-683. 被引量:2
-
5Sanehez-Mejia RO, Chennupati SK, Gupta N, et al. Superior outcome children compared with adults after microsurgical resection of brain arteriovenous malformations [J]. J Neuro- surg, 2006, 105(2): 85-87. 被引量:1
-
6Fullerton H J, Achrol AS, Johnston SC, et al. Long-term hemorrhage risk in children versus adults with brain arte- riovenous malformations [J]. Stroke, 2005, 36(10): 2099- 2104. 被引量:1
-
7Weber W, Kis B, Siekmann R, et al. Preoperative emboliza- tion of intracranial arteriovenous malformations with Onyx [J]. Neurosurgery, 2007, 61: 244-52. 被引量:1
-
8Katsaridis V, Papagiannaki C, Aimar E. Curative emboliza- tion of cerebral arteriovenous malformations (AVMs) with Onyx in 101 patients [J]. Neuroradiology, 2008, 50(7): 589- 597. 被引量:1
-
9廖兴胜,肖绍文,谭源福,张超元.儿童脑动静脉畸形综合治疗的临床分析[J].中国临床神经外科杂志,2011,16(1):39-41. 被引量:4
-
10Pan DH, Kuo YH, Guo WY. Gamma knife surgery for cere- bral arteriovenous malformations in children: a 13-year experience [J]. J Neurosurg Pediatr, 2008, 1(4): 296-304. 被引量:1
二级参考文献11
-
1Hoh BL,Ogilvy CS,Butler WE,et al.Multimodality treat-ment of nongalenic arteriovenous malformations in pediatric patients[J].Neurosurgery,2000,47:358-364. 被引量:1
-
2Bristol RE,Albuquerque FC,Spetzler RF,et al.Surgical management of arteriovenous malformations in children[J].J Neurosurg,2006,105(2):88-93. 被引量:1
-
3Di Rocco C,Tamburrinil G,Rollo M.Cerebral arteriove-nous malformations in children[J].Acta Neurochir(Wien),2000,142:145-158. 被引量:1
-
4Klimo P Jr,Rao G,Brockmeyer D.Pediatric arteriovenous malformations:a 15-year experience with an emphasis on residual and recurrent lesions[J].Childs Nerv Syst,2007,23:31-37. 被引量:1
-
5Dorfer C,Czech T,Bavinzski G,et al.Multimodality treatment of cerebral AVMs in children:a single-centre 20 years experience[J].Childs Nerv Syst,2010,26:681-687. 被引量:1
-
6Kiris T,Sencer A,Sahinbas M,et al.Surgical results in pediatric Spetzler-Martin grades Ⅰ~Ⅲintracranial arterio-venous malformations[J].Childs Nerv Syst,2005,21:69-74. 被引量:1
-
7Kiran NA,Kale SS,Vaishya S,et al.Gamma knife surgery for intracranial arteriovenous malformations in children:a retrospective study in 103 patients[J].J Neurosurg,2007,107(6 Suppl):479-484. 被引量:1
-
8Fullerton HJ,Achal AS,Johnston C,et al.Long-term hemorrhage risk in children versus adults with brain arterio-venous malformations[J].Stroke,2005,36:2099-2104. 被引量:1
-
9Humphreys RP,Hoffman HJ,Drake JM,et al.Choices in the 1990s for the management of pediatric cerebral arteriovenous malformations[J].Pediatr Neurosurg,1996,25:277-285. 被引量:1
-
10Kiran NA,Kale SS,Vaishya SG,et al.Gamma knife surge-ry for intracranial arteriovenous malformations in children:a retrospective study in 103 patients[J].J Neurosurg,2007,107:479-484. 被引量:1
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-
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-
2蔚永运.栓塞术治疗儿童脑动静脉畸形1例报道[J].武警后勤学院学报(医学版),2014,23(1):58-59. 被引量:2
-
3刘若平,肖泉,庞刚,徐鹏.侧脑室脑膜瘤的显微外科治疗[J].广西医学,2015,37(2):273-274. 被引量:1
-
4杨俊.脑动静脉畸形的微创治疗进展[J].微创医学,2018,13(5):660-662. 被引量:4
-
1梁翼,李敏,高志.膝关节创伤性滑膜炎中西医诊疗进展[J].华西医学,2010,25(6):1189-1192. 被引量:35
-
2孟庆海,窦以河,孟承东,薄勇力,李环庭.亚低温联合经侧裂手术治疗高血压脑出血的临床观察[J].中华神经外科杂志,2007,23(4):299-300. 被引量:16
-
3王玉春.动机性访谈对恢复期精神分裂症患者负性情绪的影响[J].中国实用医药,2015,10(10):262-263. 被引量:5
-
4赵辉,丁长青,张玉娜,孙迎迎.以癫痫为首发症状的青年脑血管畸形15例临床与影像分析[J].齐齐哈尔医学院学报,2012,33(22):3085-3086. 被引量:1
-
5王雪,高宇,袁颖,王勇胜,廖克坤,赵西和,李铭,张光贵,康林,丁毅,李冰,李静.药物维持和社会心理康复治疗相结合的综合模式对美沙酮门诊维持治疗的疗效研究(英文)[J].中国药物依赖性杂志,2009,18(4):302-309. 被引量:1
-
6姜洪涛.阿司匹林联合手术治疗重型颅脑损伤继发大面积脑梗死的临床分析[J].世界中医药,2015,10(A01):523-524. 被引量:1
-
7李美华,赵洪洋,朱贤立.γ刀治疗脑动静脉畸形初探[J].功能性和立体定向神经外科杂志,1999,12(2):19-22. 被引量:3
-
8戴桂良,刘石保.小骨窗开颅术与大骨瓣开颅术治疗高血压脑出血的疗效观察[J].中国医药指南,2012,10(22):63-64. 被引量:6
-
9廖兴胜,肖绍文,谭源福,张超元.儿童脑动静脉畸形综合治疗的临床分析[J].中国临床神经外科杂志,2011,16(1):39-41. 被引量:4
-
10陈超.分析外伤性脊髓损伤治疗的研究进展[J].养生保健指南(医药研究),2016,0(3):184-184. 被引量:2