摘要
目的探讨单纯Onyx胶栓塞治疗Speztler-Martni Ⅰ-Ⅳ级脑动静脉畸形的疗效及并发症。方法回顾性分析2008年12月到2012年8月单纯Onyx胶栓塞治疗的脑动静脉畸形患者21例,比较单纯Onyx胶栓塞治疗不同Speztler-Martni分级脑动静脉畸形的疗效。结果单纯使用Onyx胶栓塞治疗后,21例患者中,栓塞率100%的患者共9例。其中在Spetzler-Martin各级中所占的比率分别是:Ⅰ级80%;II级44%;Ⅲ级20%;Ⅳ级为0。栓塞1次达到栓塞率100%的患者在Speztler-Martni各级中所占的比率是:1级80%;Ⅱ级33%;Ⅲ级20%;Ⅳ级为0。结论 Onyx胶栓塞治疗是现阶段介入治疗脑动静脉畸形最理想的材料,然而其疗效与Speztler-Martni分级具有可能相关性。脑动静脉畸形Speztler-Martni Ⅲ～Ⅳ级的患者可以采用Onyx胶与其他方法联合治疗的方案。
Objective To explore the therapeutic effect and complication of simple Onyx embolotherapy Speztler - Martni I - IV BAVM arteriovenous malformation. Methods Twenty one cases with arteriovenous malformation were included into this study from December 2008 to Au- gust 2012. All these patients underwent sinmple Onyx glue embolotherapy and analyzed restrespectively. To compare the therapeutic effect of sim- ple Onyx glue embolotherapy in different Speztler - Martni grade. Results The embolism rate of nine of 21 patients with simple Onyx glue embo- lotherapy was 100%, including I Spetzer - Martin grade 80%, II grade 44%, III grade 20%, IV grade 0. The ratio of different Spetzer - Martin grade with 100% embolism rate after once embolism is ! grade 80%, II grade 33% ,III grade 20%, IV grade 0%. Conclusion Onyx glue is the ideal embolism material in embolization treatment of cerebral arteriovenous malformation at this stage. However, its efficacy correlate possibly with Speztler - Martni grade. The treatment of cerebral arteriovenous malformations of Speztler - Martni III- IV grade patients may combine Onyx glue and other therapeutic alliance protocol.
出处
《临床和实验医学杂志》
2013年第8期588-590,共3页
Journal of Clinical and Experimental Medicine
