应用复合手术平台治疗硬脊膜动静脉瘘

目的探讨复合手术平台在硬脊膜动静脉瘘(SDAVF)治疗中的应用价值。方法回顾性分析2018年1月至2019年10月复合手术治疗的18例SDAVF的临床资料。结果 18例手术时间3.1～4.6 h,平均(3.5±0.8)h。术后即刻造影未发现瘘口及异常引流静脉。无手术死亡病例,未发生与造影相关并发症。术后3个月复查脊髓造影均无复发,18例症状均明显改善;术后1年,造影复查未发现复发。结论利用复合手术平台治疗SDAVF,定位准确,手术损伤小,复发率低,疗效好。

Clinical efficacy of hybrid operation for patients with spinal dural arteriovenous fistula

Objective To summarize the clinical experience in treating the patients with spinal dural arteriovenous fistula (SDAVF) in a hybrid operating room. Methods The clinical data of 18 patients with SDAVF who received hybrid operaion from January 2018 to October 2019 were analyzed retrospectively. Results The operation time of 18 patients ranged from 3.1 hours to 5.6 hours, with an average of (3.5±0.8) hours. No fistulas and abnormal draining veins were found on the angiography immediately after the operation. There were no surgical deaths and no complications related to angiography. There was no recurrence 3 months after the operation, and the symptoms of 18 patients were significantly improved. DSA showed no recurrence 1 year after the operation. Conclusion The hybrid operation is a good treatment method for the patients with SDAVF, which has many advantages such as accurate positioning, light surgical injury, low recurrence rate, and good curative effect.