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脑动静脉畸形的血管内栓塞治疗研究
引用本文:田喜光,常会民,李铁林,段传志.脑动静脉畸形的血管内栓塞治疗研究[J].脑与神经疾病杂志,2001,9(2):90-92.
作者姓名:田喜光  常会民  李铁林  段传志
作者单位:1. 武警广东总队医院神经外科,
2. 第一军医大学珠江医院神经外科
基金项目:“九五”国家医学科技攻关资助项目(专题合同编号96- 907-02-01)
摘    要:目的:探讨脑动静脉畸形的血管内栓塞治疗。方法:回顾性地分析195例AVMs患者的血管栓塞治疗过程。结果:血管内栓塞治疗159例,297次,治疗后临床症状消失,完全恢复正常生活、工作者32例,占20%,临床症状明显好转123例(占77.4%)。结论:血管内栓塞治疗是一种脑AVMs首选并且有效的治疗方法,尤其终末型供血者。

关 键 词:脑动静脉畸形  栓塞治疗  并发症
修稿时间:2000年12月30

Study on the endovascular embolization treatment of Cerebral Arteriovenous Malformations
TIAN Xi Guang,Li Tielin,CHANG Hui Min,DUAN Chuanzhi.Study on the endovascular embolization treatment of Cerebral Arteriovenous Malformations[J].Journal of Brain and Nervous Diseases,2001,9(2):90-92.
Authors:TIAN Xi Guang  Li Tielin  CHANG Hui Min  DUAN Chuanzhi
Institution:TIAN Xi Guang,LI TieLin,CHANG Hui Min DUAN ChuanZhi. Department of Neurosurgery,Guangdong Provincial crops Hospital,Chinese People's Armed Police Forces,Guangzhoum 510507,China
Abstract:Objective: Discussing the outcome of AVM treatment with endovascular embolization. Methods: We reviewed the clinical histories and cerebral angiograms of 195 cases AVM patients. Under digital subtraction angiography (DSA) view procedures, embolizing material were injected into AVMs through microcatheter. Results : We use NBCA as embolic agents mainly. Complete occlusion of AVM nidus were obtained in 32 patients (20%), obkiterated more 75% of AVM were achieved in 41 patients, 50% to 75% of AVMs were obliterated in 56 patients, obliterated less than 50% of AVMs in 48 patients. After embolization , 4 patients appeared with transient neurological deficit, normal perfusion pressure breakthrough (NPPB) occur in 1 patients. The major complications were headache (22 case). Conclusion: Endovascular embolization tratment can be accomplished with less complications and it were identified as the firs choice to treat the AVMs with satisfied therapeutic results.
Keywords:AVMs Intracascular embolization Methods
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