摘要
目的探讨血管内栓塞治疗脑动静脉畸形(AVM)的临床意义。方法应用血管内栓塞治疗脑AVM 37例,栓塞剂为NBCA或(和)ONYX,栓塞后11例行γ-刀治疗。结果畸形血管团完全消失6例,消失90％以上11例,70％～90％17例,70％以下3例。栓塞后2例发生灌注压突破出现脑肿胀,另2例发生脑出血。结论血管内栓塞治疗脑AVM的方法是安全的,可治愈部分脑 AVM;对于大型、重要功能区的脑AVM,血管内栓塞联合手术或放疗可提高治愈率,降低致残率和死亡率。
Objective To find out the clinical significance of endovascular embolization in the treatment of cerebral arteriovenous malformation （AVM）. Methods Clinically 37 patients were treated by endovascular embolization with NBCA and/or ONYX as embolic materials, followed by γ-knife therapy in 11 patients of them. Results After endovascular embolization, anatomical cure was achieved in 6 cases, more than 90% disappearance of the malformations in size in 11 cases, 70%-90% disappearance in 17 and less than 70% disappearance in 3. 2 cases of the group appeared perfusion pressure-induced cerebral swelling, and other 2 cases suffered fi＇om hemorrhage after embolization. Conclusion Endovascular embolization is a safe and reliable method for treating AVM. In regard to some large AVMs or ones situated at important functional areas, endovascular embolization combined with surgery or γ-knife is an effective method for AVM with a high cure rate and a low morbidity and mortality.
出处
《中华神经医学杂志》
CAS
CSCD
2006年第4期398-400,共3页
Chinese Journal of Neuromedicine
关键词
脑动静脉畸形
栓塞
Cerebral arteriovenous malformations
Embolization
