| 骶部硬脊膜动静脉瘘的诊断与治疗 |
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| 引用本文： | 于加省,陈劲草,雷霆,陈坚,李龄.骶部硬脊膜动静脉瘘的诊断与治疗[J].华中科技大学学报(医学版),2008,37(3). |
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| 作者姓名： | 于加省 陈劲草 雷霆 陈坚 李龄 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院神经外科,武汉,430030 |
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| 摘 要： | 目的 探讨骶部硬脊膜动静脉瘘的诊断与治疗方法.方法 回顾性分析近17年来收治的21例骶部硬脊膜动静脉瘘患者的临床资料、治疗方式及术后转归.结果 男性17例,女性4例.年龄25～64岁,平均48.2岁.病程10～36个月,平均16.3个月.所有患者均在脊髓血管造影后得到确诊.其中单纯手术治疗15例,单纯栓塞治疗4例,两种方法合用治疗2例;所有患者术后症状得到改善.21例随访2～120个月,未见复发.结论 选择性血管造影是确诊骶部硬脊膜动静脉瘘的方法.早期诊断和早期治疗是取得良好疗效的关键.治疗方法有手术治疗和栓塞治疗.术后抗凝非常重要.
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| 关 键 词： | 骶部 硬脊膜动静脉瘘 诊断 治疗 骶部 硬脊膜动静脉瘘 诊断与治疗 Dural Arteriovenous Fistula Spinal Sacral Treatment 抗凝 术后症状 良好疗效 早期治疗 早期诊断 选择性血管造影 复发 随访 改善 栓塞治疗 手术治疗 脊髓血管造影 病程 |
Diagnosis and Treatment of Sacral Spinal Dural Arteriovenous Fistula |
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| Yu Jiasheng,Chen Jincao,Lei Ting et al.Diagnosis and Treatment of Sacral Spinal Dural Arteriovenous Fistula[J].Journal of Huazhong University of Science and Technology(Health Sciences),2008,37(3). |
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| Authors: | Yu Jiasheng Chen Jincao Lei Ting |
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| Institution: | Yu Jiasheng,Chen Jincao,Lei Ting et al Department of Neurosurgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430030 |
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| Abstract: | Objective To explore the diagnosis and treatment of sacral spinal dural arteriovenous fistula (SDAVF). Methods The clinical data of 21 patients with sacral spinal dural arteriovenous fistula treated within the last 17 years were analyzed retrospectively. Results In 21 patients (male 17, female 4) with sacral SDAVF with the age ranging from 25 to 64 years old (mean 48.2), the time interval from onset to diagnosis was 10 to 36 months (median 16.3 months). The 21 patients with sacral SDAVF were diagnosed by me... |
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| Keywords: | sacral spinal dural arteriovenous fistula diagnosis treatment |
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