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脊髓血管畸形血管内治疗的疗效评价

Spinal AVM: Therapeutic Effect Evaluation in Endovascular Embolization

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【作者】 黄祥龙张子曙沈天真陈星荣黄峰平周良辅

【Author】 Huang Xianglong; Zhang Zishu; Shen Tianzhen; et al. (Department of Radiology, Huashan Hospital, Shanghai Medical University 200040)

【机构】 上海医科大学华山医院放射科、神外科

【摘要】 目的:观察通过血管内栓塞治疗脊髓血管畸形疗效。材料和方法:8例脊髓血管畸形中髓内AVM5例,髓周AVF3例。颈段1例,胸段4例(球型2例,幼稚型3例),髓周AVF3例均位于圆锥马尾部,其中Ⅱ型1例,Ⅲ型2例。8例均作病灶栓塞。保留供血动脉4例,供血动脉完全闭塞4例。结果:症状和体征均有不同程度的改善。无并发症。随访2-24个月,髓周AVF疗效明显优于髓内AVM。结论:血管内栓塞治疗脊髓血管畸形,尤其对Ⅱ型和Ⅲ型髓周AVF不失为有效的治疗方法。

【Abstract】 To evaluate the therapeutic effects of spinal AVM embolization. Materials and Methods: Eight spinal AVM were classified as intramedullary AVM 5 and perimedullary AVF 3with cervical 1, thoracic 4 and cauda equinal 3, (glomus 2 and juvenile3). Results: Signs and symptoms in all cases were improved by different extent without any postembolization complication in 2-24 months follow-up interval. The therapeutic effects of perimedullary AVF were better than that of intramedullary AVM.Conclusion : Endovascular embolization is an alternative in the treatment of spinal AVM, especially in type Ⅱ and type Ⅲ perimedullary AVF.

【关键词】 血管内治疗栓塞脊髓血管畸形
【Key words】 Endovascular TherapyEmbolizationSpinal AVM
  • 【文献出处】 中国医学计算机成像杂志 ,CHINESE JOURNAL OF MEDICAL COMPUTED IMAGING , 编辑部邮箱 ,1995年03期
  • 【分类号】R321.6
  • 【下载频次】25
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