| 海绵窦区硬脑膜动静脉瘘的血管内栓塞治疗 |
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| 引用本文： | Yu Z,Ma L,Yang M,Qin S,Xu G,Gong J,Hu J,Pan L,Yao G,Zhang X. 海绵窦区硬脑膜动静脉瘘的血管内栓塞治疗[J]. 中华外科杂志, 2000, 38(2): 112-113 |
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| 作者姓名： | Yu Z Ma L Yang M Qin S Xu G Gong J Hu J Pan L Yao G Zhang X |
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| 作者单位： | 广州军区武汉总医院神经外科(余泽!430070,马廉亭!430070,杨铭!430070,秦尚振!430070,徐国政!430070,龚杰!430070,胡军民!430070,潘力!430070,姚国杰!430070),广州军区武汉(张新元!430070) |
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| 摘 要： | 目的 探讨海绵窦区硬脑膜动静脉瘘的诊治方法。 方法 3 2例采用微导管超选择性插管 ,将微导管前端送入硬脑膜动静脉瘘瘘口处 ,经微导管造影证实并无危险吻合支 ,然后经微导管注入微粒行瘘的供血动脉及瘘口栓塞 ,其中 12例同时并经岩上、下窦采用钨丝微螺旋圈行海绵窦内栓塞。 结果 2 8例栓塞后造影瘘口完全闭塞 ,4例栓塞后造影瘘口有少许显影 ,术后采取压迫患侧颈总动脉 ,1周后造影瘘口消失。经 6个月～ 8年的随访未见瘘口再通。 结论 血管内栓塞治疗海绵窦区硬脑膜动静脉瘘是行之有效的方法。
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| 关 键 词： | 动静脉瘘 硬膜 栓塞 治疗性 |
Dural arterovenous fistula involving cavernous sinus |
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| Yu Z,Ma L,Yang M,Qin S,Xu G,Gong J,Hu J,Pan L,Yao G,Zhang X. Dural arterovenous fistula involving cavernous sinus[J]. Chinese Journal of Surgery, 2000, 38(2): 112-113 |
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| Authors: | Yu Z Ma L Yang M Qin S Xu G Gong J Hu J Pan L Yao G Zhang X |
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| Affiliation: | Department of Neurosurgery, Wuhan General Hospital, Chinese People's Liberotion Army, Wuhan 430070, China. |
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| Abstract: | Objective To study the pathogenesis and treatment of dural arterovenous fistulas (DAVFS) involving the cavernous sinus. Methods 32 cases were embolized with particle by microcatheterization via endovascular approach and ervation by digital substraction angiography. Of the 32 cases, 14 were embolized by microsoils through superior petrosal sinus approach into the cavernous sinus. Results In 28 of the 32 cases the fistulas were completely embolized angiographically. The fistulas were partly embolized in 4 of the 32 cases. The carotid artery was compressed for 6 months. One week later, the fistula disappeared angiographically. No fistulas were found during the follow up for 6 months to 8 years. Conclusion Endovascular treatment of DAVFS involving the cavernous sinus is effective. |
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| Keywords: | Arteriovenous fistula Dura mater Embolization therapeutic |
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