复合手术在硬脑膜动静脉瘘治疗中的应用

目的 探讨复合手术治疗硬脑膜动静脉瘘的疗效。方法 回顾性分析2018年2月至2019年12月复合手术治疗的10例硬脑膜动静脉瘘的临床资料。结果 9例术后3~6个月造影随访，其中8例未见复发，1例小脑半球凸面硬脑膜动静脉瘘可见一支供血动脉再通，但血流速度缓慢。术后无新发神经功能缺损，未发生再出血。术后改良Rankin量表评分0~1分。结论 复合手术治疗硬脑膜动静脉瘘疗效确切，术前影像融合及术中实时造影可精确定位，降低手术风险，实时判断手术效果，改善病人预后。

Hybrid operation for patients with dural arteriovenous fistula (report of 10 ceses)

Objective To explore the clinical efficacy of hybrid operation for the patients with dural arteriovenous fistula. Methods The clinical data of 10 patients with dural arteriovenous fistula who underwent hybrid surgery from February 2018 to December 2019 were retrospectively analyzed. Results The following up angiography 3 to 6 months after surgery of 9 patients showed no recurrence in 8 patients and convex cerebellar hemisphere dural arteriovenous fistula recanalization with slow blood flow in 1. There was no new neurological deficit and no rebleeding after the operation. The postoperative modified Rankin scale score ranged from 0 to 1 points. Conclusions Hybrid operation is an effective method for the patients with dural arteriovenous fistula. Preoperative image fusion and intraoperative real-time angiography can accurately locate the lesions, and then reduce the risk of surgery, judge the effect of surgery in real time, and improve the patient’s prognosis.