摘要
目的 :总结胼胝体动静脉畸形 (AVM)的显微手术治疗经验。方法 :回顾分析 1 990年 1月至 1 998年 1 2月治疗 8例胼胝体AVM的结果。结果 :7例行显微手术切除 ,其中 1例行术中AVM栓塞加手术切除。全切 5例 ,次全切除 2例 ,无手术死亡。 1例拒绝手术 ,半年后死于再出血。随访 5例 ,平均随访 2 6月 ,均恢复良好。结论 :胼胝体AVM一经诊断明确 ,应积极行显微手术切除。对难以全切者可行栓塞治疗或栓塞后切除。对深部术后部分残留者 ,再辅以 刀治疗 ,可取得良好的效果。
Objective:To review the therapeutic experience of arteriovenous malformations(AVMs) of the corpus callosum.Methods:Eight cases of callosal AVMs admitted to our department from Jan.1990 to Dec.1998 were reviewed retrospectively.Results:One patient who refused surgical operation died of rebleeding six monthes late.Other 7 cases were operated on microsurgically including total resection in 5 cases and subtotal in 2.One case also underwent endovascular embolization during operation.There was no operative mortality.Five cases were followed up(mean 26 monthes),all had good recovery.Conclusion:When arteriovenous malformations of the corpus callosum are diagnosed,microsurgical excision should be done.Combination of endovascular embolization with surgery is acceptable in management of difficult cases.
出处
《浙江大学学报（医学版）》
CAS
CSCD
2000年第2期79-81,共3页
Journal of Zhejiang University(Medical Sciences)
关键词
脑动静脉畸形
胼胝体
显微外科手术
Cerebral arteriovenous malformations/surg
Corpus callosum
Microsurgery
