| 早期显微手术治疗低级别Spetzler-Martin分级破裂出血性脑动静脉畸形的效果 |
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| 引用本文： | 方凯,梁亚明,陈文焰,卢伟坤. 早期显微手术治疗低级别Spetzler-Martin分级破裂出血性脑动静脉畸形的效果[J]. 广东医学, 2020, 41(21): 2214-2218. DOI: 10.13820/j.cnki.gdyx.20200591 |
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| 作者姓名： | 方凯 梁亚明 陈文焰 卢伟坤 |
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| 作者单位： | 肇庆市第二人民医院神经外科（广东肇庆 526060） |
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| 摘 要： | 目的探讨Spetzler-Martin分级（SMG）为Ⅰ～Ⅱ和部分Ⅲ级脑动静脉畸形（AVMs）出血后72 h内显微手术治疗的临床效果。方法回顾性分析15例破裂出血的SMG为Ⅰ～Ⅱ和部分Ⅲ级脑AVMs患者的临床资料,所有患者均在发病后72 h内进行显微手术治疗。结果术后随访6～24个月,平均（7.9±4.5）个月,按GOS评分标准进行预后评定。其中GOS评分5分12例,4分3例。术后复查DSA显示14例患者畸形血管团全部切除,1例有少部分残留。结论在做好充分的术前影像检查和评估的前提下,早期显微手术治疗破裂出血的SMG为Ⅰ～Ⅱ和部分Ⅲ级脑AVMs是安全有效的。
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| 关 键 词： | 脑动静脉畸形 Spetzler-Martin分级 显微外科 早期手术治疗 |
Early microsurgical treatment for hemorrhagic Spetzler-Martin low-grade cerebral arteriovenous malformation rupture: preliminary clinical experience |
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| FANG Kai,LIANG Ya-ming,CHEN Wen-yan,LU Wei-kun. Early microsurgical treatment for hemorrhagic Spetzler-Martin low-grade cerebral arteriovenous malformation rupture: preliminary clinical experience[J]. Guangdong Medical Journal, 2020, 41(21): 2214-2218. DOI: 10.13820/j.cnki.gdyx.20200591 |
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| Authors: | FANG Kai LIANG Ya-ming CHEN Wen-yan LU Wei-kun |
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| Affiliation: | Department of Neurosurgery, the Second People′s Hospital of Zhaoqing, Zhaoqing 526060, Guangdong, China |
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| Abstract: | ObjectiveTo investigate the effect of microsurgical treatment in the first 72 hours after hemorrhage of Spetzler-Martin Grade (SMG) Ⅰ-Ⅱ and partial Grade Ⅲ cerebral arterio-venous malformations (AVMs). Methods The clinical data of 15 patients with rupture of SMG Ⅰ-Ⅱ and partial Ⅲ cerebral AVMs were retrospectively analyzed. All patients were treated with microsurgery in the first 72 hours after hemorrhage. ResultsThe patients were followed-up after surgery for 6-24 months, the mean follow-up periods was (7.9±4.5) months. The outcomes were assessed with GOS score. Twelve patients recovered well with GOS score of 5. Three patients left moderate disability with GOS score of 4. DSA re-examination in fourteen patients showed that the malformed vascular mass was completely removed, and 1 patient had some small residual. ConclusionEarly microsurgery for the SMG Ⅰ-Ⅱ and partial Ⅲ hemorrhagic AVMs is safe and effective under the condition of adequate preoperative imaging examination and evaluation. The prognosis is similar to that reported in the literature treated with staged surgery. |
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| Keywords: | cerebral arteriovenous malformations Spetzler-Martin grade microsurgery early surgical treatment |
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