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颅内纯硬脑膜动静脉瘘的DSA分类与临床症状的相关性研究

Cerebral pure dural arteriovenous fistulas(PDAVFs)

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【作者】 念丁芳生琦瑞陈秀华黄祥龙

【Author】 NIAN Ding fang,SHENG Qi rui,CHEN Xiu hua,HUANG Xiang longDepartment of Radiology,Yuhuangding Hospital,Yantai Shandong 264000,China

【机构】 山东烟台毓璜顶医院介入放射科!山东烟台264000上海医科大学附属华山医院放射科!上海200040

【摘要】 目的 :通过对16例经DSA证实的纯硬脑膜动静脉瘘的血管造影表现进行描述及分类、临床症状的复习 ,探讨纯硬脑膜动静脉瘘的DSA分类与临床症状的相关性。材料与方法 :文中16例纯硬脑膜动静瘘均行双侧颈内、外动脉及椎动脉血管造影检查。通过对其血管造影表现进行描述及分类 ,做DSA分类与临床症状的对照分析。结果 :16例纯硬脑膜动静脉瘘中 ,Ⅰ型9例 ,Ⅱ型4例 ,Ⅲ型2例 ,Ⅳ型1例。Ⅰ型的临床症状多为非侵袭性的良性表现 ,Ⅲ、Ⅳ型的临床症状多为侵袭性的恶性表现 ,Ⅱ型的临床症状介于侵袭性与非侵袭性表现之间。结论 :全脑血管造影是确诊和研究该病唯一可靠的手段、方法。患者的临床表现与DSA分类密切相关。

【Abstract】 Objective:To describe and classify the findings of angiogram,to review clinical material of 16 cases PDAVFs which were proved by DSA in order to study the interrelation between findings of angiogram and symptoms.Materials and Methods:16 patients with PDAVFs were checked up with cerebral angiography,to classified the findings of angiogram,and the results were compared with symptoms.Results:Of 16 cases PDAVFs,there were 9,4,2,1 respectively due to type Ⅰ,typeⅡ,typeⅢ,TypeⅣ.Type Ⅰ PDAVFs had a group of benign symptoms,type Ⅲ,type Ⅳ had a group of aggressive symptoms,and type Ⅱ had a group of ambiguous symptoms.Conclusion:Cerebral angiography is the only reliable method in diagnosing and studying of PDAVFs.The symptoms of patients correlate with classification of angiogram.

  • 【文献出处】 中国临床医学影像杂志 ,JOURNAL OF CHINA MEDICAL IMAGING , 编辑部邮箱 ,2000年02期
  • 【分类号】R816.1
  • 【被引频次】6
  • 【下载频次】92
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