| 脊髓血管畸形的DSA分析及血管内栓塞治疗 |
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| 引用本文： | 靳松,崔世民,张蕾莉,刘梅丽,闫世鑫,戴伟英,范一木,焦德让.脊髓血管畸形的DSA分析及血管内栓塞治疗[J].中国医学影像技术,2002,18(2):102-104. |
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| 作者姓名： | 靳松 崔世民 张蕾莉 刘梅丽 闫世鑫 戴伟英 范一木 焦德让 |
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| 作者单位： | 天津市环湖医院神经放射科,天津,300060 |
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| 摘 要： | 目的：评价血管造影对脊髓血管畸形的诊断及栓塞治疗价值。方法：16例脊髓血管畸形病人做了选择性脊髓血管造影检查，确诊后进行血管内栓塞治疗。结果：根据DSA显示的异常血管的部位、形态、分布和供血动脉及引流静脉情况将其分为三型：髓内动静脉畸形4例；髓周动静脉瘘4例；硬脊膜动静脉瘘8例。栓塞治疗后，13例获得较满意效果，2例无变化。在2个月至3年的随访期间，13例临床症状有改善。结论：脊髓血管造影是诊断脊髓血管畸形的可靠依据，可清晰显示畸形血管及供血动脉和引流静脉。栓塞治疗是一种创伤小、并发症少的方法。
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| 关 键 词： | 动静脉畸形 脊髓血管畸形 血管造影 栓塞治疗 诊断 |
| 文章编号： | 1003-3289(2002)02-0102-03 |
| 收稿时间： | 2001/9/20 0:00:00 |
| 修稿时间： | 2001年9月20日 |
DSA Analyzation and Embolization Treatment of Spinal Vascular Malformations |
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| JIN Song,CUI Shi-min,ZHANG Lei-li,LI Mei-li,YAN Shi-xin,DAI Wei-ying,FAN Yi-mu and JIAO De-rang.DSA Analyzation and Embolization Treatment of Spinal Vascular Malformations[J].Chinese Journal of Medical Imaging Technology,2002,18(2):102-104. |
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| Authors: | JIN Song CUI Shi-min ZHANG Lei-li LI Mei-li YAN Shi-xin DAI Wei-ying FAN Yi-mu and JIAO De-rang |
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| Affiliation: | Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China;Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China;Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China;Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China;Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China;Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China;Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China;Department of Neuroradiology, Huanhu Hospital, Tianjin 300060, China |
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| Abstract: | Purpose To evaluate the diagnosis value of spine angiography in treatment of spinal malformation. Methods Sixteen cases of spine vascular malformation were examined by selective spine angiography and treated by intravascular embolization. Results According to the location and shape, distribution of abnormal vessels, feeding arteries and draining veins displayed by DSA, the disease was divided into three types: 4 cases of spinal cord arteriovenous malformations; 4 cases of perispinal arteriovenous fistulas; 8 cases of spinal dural arteriovenous fistulas. Sixteen cases receiving embolization treatment, satisfied effects were in 13 cases and no changes in 2 cases. During follow up 2 months to 3 years, clinical symptoms were relieved in 13 cases. Conclusion Selective angiography is the only method for diagnosing spinal vascular malformation. DSA can show the location,feeding arteries and draining veins of spinal vascular malformation. Embolization treatment is a method with less invasiveness and fewer complications. |
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| Keywords: | Arteriovenous malformation Spine Angiography Embolization |
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