| 血管内栓塞治疗脑动静脉畸形合并动脉瘤 |
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| 引用本文： | 蔡顺然,赵卫,范宏杰,李星海,李安,陆阳,景施卉,陈亚东. 血管内栓塞治疗脑动静脉畸形合并动脉瘤[J]. 中国介入影像与治疗学, 2019, 16(1): 8-11 |
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| 作者姓名： | 蔡顺然 赵卫 范宏杰 李星海 李安 陆阳 景施卉 陈亚东 |
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| 作者单位： | 昆明医科大学第一附属医院医学影像科 |
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| 基金项目： | 云南省医疗卫生内设研究机构项目（2018NS0119）。 |
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| 摘 要： | 目的探讨血管内栓塞治疗脑动脉畸形合并动脉瘤的价值。方法收集46例脑动静脉畸形合并动脉瘤患者,对Redekop分型为Ⅱa型和Ⅲ型患者(A组)以Onyx胶联合弹簧圈进行栓塞,Redekop分型Ⅰ型和Ⅱb型患者(B组)以Onyx胶联合弹簧圈或单纯Onyx胶进行栓塞,以格拉斯哥转归量表(GOS)评分评估手术疗效。术后3个月复查脑血管造影,观察病灶有无复发。结果 A组患者术后GOS评分为(4.70±0.47)分;B组患者中,以Onyx胶联合弹簧圈栓塞患者GOS评分[(4.75±0.45)分]明显高于单纯Onyx胶栓塞者[(4.33±0.49)分;t=2.159,P=0.042]。1例患者死亡,其余45例患者术后3个月后复查脑血管造影均未见复发。结论血管内栓塞治疗脑动静脉畸形合并动脉瘤疗效好,以Onyx胶联合弹簧圈疗效优于单纯Onyx胶栓塞。
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| 关 键 词： | 动静脉畸形 动脉瘤 栓塞,治疗性 |
| 收稿时间： | 2018-07-13 |
| 修稿时间： | 2018-11-18 |
Endovascular embolization in treatment of brain arteriovenous malformation combined with aneurysms |
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| CAI Shunran,ZHAO Wei,FAN Hongjie,LI Xinghai,LI An,LU Yang,JING Shihui and CHEN Yadong. Endovascular embolization in treatment of brain arteriovenous malformation combined with aneurysms[J]. Chinese Journal of Interventional Imaging and Therapy, 2019, 16(1): 8-11 |
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| Authors: | CAI Shunran ZHAO Wei FAN Hongjie LI Xinghai LI An LU Yang JING Shihui CHEN Yadong |
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| Affiliation: | Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China,Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China,Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China,Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China,Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China,Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China,Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China and Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China |
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| Abstract: | |
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| Keywords: | arteriovenous malformations aneurysm embolization, therapeutic |
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