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脊髓硬脊膜动静脉瘘的栓塞和手术治疗
引用本文:黄承光,白如林,陈左权,张光霁,卢亦成,朱诚. 脊髓硬脊膜动静脉瘘的栓塞和手术治疗[J]. 第二军医大学学报, 2002, 23(1): 77-78
作者姓名:黄承光  白如林  陈左权  张光霁  卢亦成  朱诚
作者单位:第二军医大学长征医院神经外科,上海,200003
基金项目:上海市医学发展基金重点研究课题(98ZD0 0 3)
摘    要:目的:探讨硬脊膜动静脉瘘的治疗方法.方法:14例硬脊膜动静脉瘘患者中,6例以微粒栓塞,1例正丁基-2-氰基丙烯酸酯(NBCA)栓塞,7例手术治疗.结果:治疗后短期内症状均改善,随访6个月至5年手术和以胶栓塞患者均无复发,以微粒栓塞患者中有2例复发,其中1例手术治疗.结论:手术夹闭或以胶栓塞瘘口均可作为该病的有效治疗方法.

关 键 词:动静脉瘘、脊髓疾病、外科学、栓塞  治疗性
文章编号:0258-879X(2002)01-0077-02
修稿时间:2001-08-30

Embolization and surgical management of spinal dural arteriovenous fistulae in 14 patients
HUANG Cheng-Guang,BAI Ru-Lin,CHEN Zuo-Quan,ZHANG Guang-Ji,LU Yi-Cheng,ZHU Cheng. Embolization and surgical management of spinal dural arteriovenous fistulae in 14 patients[J]. Former Academic Journal of Second Military Medical University, 2002, 23(1): 77-78
Authors:HUANG Cheng-Guang  BAI Ru-Lin  CHEN Zuo-Quan  ZHANG Guang-Ji  LU Yi-Cheng  ZHU Cheng
Abstract:Objective: To evaluate the efficacy of embolization and surgical management for spinal dural arteriovenous fistulae (SDAVF). Methods:Fourteen patients with SDAVF was reviewed. Embolization by particle was performed in 6 cases. n-butyl cyanoacrylate(NBCA) was used in one case. Seven cases were treated by surgery directly. Results: Eight patients improved after surgery or NBCA embolization. Two patients received particle embolization recurred and one of them underwent subsequent surgery due to recurrence. Conclusion:Embolization by NBCA and surgical treatment both have good effect for this lesion.
Keywords:arteriovenous fistula  spinal cord diseases  surgery  embolization  therapeutic
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