| 复合手术在治疗颅颈交接区硬脊膜动静脉瘘中的应用(附2例病例报道) |
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| 引用本文： | 宋炳伟,甄勇,何亮,申林海,闫可.复合手术在治疗颅颈交接区硬脊膜动静脉瘘中的应用(附2例病例报道)[J].临床神经外科杂志,2022(1):79-82. |
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| 作者姓名： | 宋炳伟 甄勇 何亮 申林海 闫可 |
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| 作者单位： | 扬州大学附属苏北人民医院神经外科 |
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| 基金项目： | 扬州市社会发展-临床前沿项目(YZ2017070);扬州市自然科学基金面上项目(YZ2017114)。 |
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| 摘 要： | 目的 探讨复合手术在颅颈交界区硬脊膜动静脉瘘(CCJ-DAVF)手术中的应用价值.方法 回顾性分析2例在复合手术室手术治疗的CCJ-DAVF患者临床资料,并进行文献回顾.用改良Rankin评分(mRS)评价治疗效果,术后随访1～6个月.结果 2例均以蛛网膜下腔出血(SAH)起病,术中均准确地找到瘘口并将其切断,即刻血管...
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| 关 键 词： | 颅颈交界区硬脊膜动静脉瘘 图像融合 复合手术 蛛网膜下腔出血 |
Hybrid operation for treatment of craniocervical junction-dural arterio venous fistulas(report of 2 cases) |
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| Institution: | (Department of Neurosurgery,Northern Jiangsu People's Hospital,Affiliated Hospital of Yangzhou University,Yangzhou 225000,China) |
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| Abstract: | Objective To evaluate the clinical values of hybrid operation for the treatment of craniocervical junction-dural arterio venous fistulas(CCJ-DAVF).Methods The clinical data of 2 CCJ-DAVF patients who received operation in the hybrid operating room were analyzed retrospectively,and the relevant literature were reviewed.The clinical efficacy was evaluated with the modified Rankin scale(mRS).The follow-up time was 1-6 months.Results Subarachnoid hemorrhage(SAH)occurred in both cases.The fistulas were all accurately found and obliterated.Intraoperative digital subtraction angiography(DSA)was performed immediately after obliterating,and confirmed that the fistulas were completely disappeared.The time cost of intraoperative DSA and image fusion was respectively 35minutes and 25 minutes.No DSA-related complications occurred.mRS scores were respectively 0 and 1.Conclusion Hybrid operation can help to judge the location of fistula and confirm obliteration of all the fistulas,which is a safe and effective technique. |
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| Keywords: | craniocervical junction-dural arterio venous fistulas image fusion hybrid operation subarachnoid hemorrhage |
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