摘要
目的探讨脊髓血管畸形的临床特征、诊断及治疗方法。方法回顾性分析70例经MRI、DSA和(或)手术病理证实的脊髓血管畸形病例,其中髓内血管畸形38例,髓周动静脉瘘21例,硬脊膜动静脉瘘11例。结果单纯性栓塞治疗24例,先栓塞后手术5例,单纯手术治疗39例,保守治疗2例。随访56例,痊愈12例,好转29例,无变化11例,恶化4例。结论MRI与DSA结合是诊断脊髓血管畸形的最好手段。针对不同病变特点和影像特征,选择恰当的治疗方法是成功的关键。
Objective To discuss the clinical characteristic, diagnosis and therapy method of spinal vascular malformation. Methods Seventy cases of spinal vascular malformation which confirmed by MRI, DSA and/or pathology were analyzed retrospectively. Results There were 38 cases of intramedullary vascular malformations, 21 cases of perimedullary arteriovenous fistulas, 11 cases of spinal dural arteriovenous fistulas. Of which 24 cases were embolized, 5 cases operated after embolization, 39 cases accepted surgery alone and 2 cases medical therapy. Among 56 follow-up cases, complete recovery in 12 cases, improvement in 29 cases, no changes in 11 cases and deterioration in 4 cases. Conclusion MRI combined with DSA is the optimal method in diagnosing spinal vascular malformation. Based on the neurological features and imaging evidence, selecting the suitable method for therapy is the key to success.
出处
《中国微侵袭神经外科杂志》
CAS
2004年第11期484-486,共3页
Chinese Journal of Minimally Invasive Neurosurgery
