| 硬脊膜动静脉瘘的诊断及手术治疗 |
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| 引用本文： | 侯为民,黄承光,白如林,陈左权,卢亦成,胡国汉.硬脊膜动静脉瘘的诊断及手术治疗[J].中国微侵袭神经外科杂志,2003,8(7):312-314. |
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| 作者姓名： | 侯为民 黄承光 白如林 陈左权 卢亦成 胡国汉 |
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| 作者单位： | 1. 武警青海总队医院神经外科,青海,西宁,810000
2. 中国人民解放军第二军医大学附属长征医院神经外科,上海,200004 |
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| 摘 要： | 目的 探讨硬脊膜动静脉瘘的诊断及手术治疗。方法 1996年9月～2002年9月收治硬脊膜动静脉瘘病人20例，均行术前MRI、脊髓血管造影证实，手术切断瘘口处硬脊膜动脉与引流静脉的异常交通。结果 12例完全康复，8例症状改善，脊髓功能部分恢复。结论 脊髓MRI是硬脊膜动静脉瘘的无创筛选检查，而脊髓血管造影是确诊的金标准；手术电凝切断瘘口效果肯定，可明显改善症状，防止脊髓损害进一步加重。
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| 关 键 词： | 硬脊膜动静脉瘘 诊断 手术治疗 脊髓血管造影 抗凝治疗 脊髓MRI |
| 文章编号： | 1009-122X(2003)06-0313-03 |
| 修稿时间： | 2003年4月8日 |
Diagnosis and surgical treatment of spinal dural arteriovenous fistulas |
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| HOU Weimin,HUANG Chengguang,BAI Rulin,et al..Diagnosis and surgical treatment of spinal dural arteriovenous fistulas[J].Chinese Journal of Minimally Invasive Neurosurgery,2003,8(7):312-314. |
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| Authors: | HOU Weimin HUANG Chengguang BAI Rulin |
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| Institution: | HOU Weimin1,HUANG Chengguang2,BAI Rulin2,et al 1. Department of Neurosurgery,Qinghai General Police Hospital,Xining 810000,China, 2. Department of Neurosurgery,Changzheng Hospital,Second Military Medical University of PLA,Shanghai 200004,China |
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| Abstract: | Objective To discuss the diagnosis and surgical treatment of spinal dural arteriovenous fistulas. Methods Twenty patients were hospitalized for spinal dural arteriovenous fistulas in our department from September 1996 to September 2002. All patients underwent MRI examination to obtain the image of axial and sagittal plane of spinal before operation. The diagnosis was confirmed by selective spinal angiography. Surgical interruption of arterialized radicular-medullary draining vein of SDAVF provides permanent occlusion of the fistula. Results Complete recovery occured in 12 cases after treatment, and improvement occurred in 8 cases. Conclusion SDAVF could be suggested in MRI examination. DSA examination of spinal vascular is the golden standard in diagnosis of SDAVF. Surgical interruption is effective in the treatment of SDAVF. |
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| Keywords: | spinal dura arteriovenous fistulas diagnosis surgical interruption |
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