摘要
目的 探讨颈段脊髓血管畸形的临床及影像学特征 ;研究血管内治疗的方法和效果。 方法 选择 1991年 1月至 2 0 0 0年 6月收治的 2 1例颈段脊髓血管畸形患者 ,分析其临床表现和血管造影特征 ,所有病例均行血管内栓塞治疗。 结果 其中 3例于术后 6个月～ 2年 ,因病灶巨大 ,行第 2次治疗。栓塞材料选用真丝微粒或线段 10例 ,NBCA胶 3例 ,线段和NBCA胶联合应用 8例。病灶闭塞 90 %以上 7例 ,闭塞 80 %～ 90 % 8例 ,6 0 %～ 80 % 4例 ,6 0 %以下 2例 ;临床症状改善 15例 ,无变化 5例 ,1例术后 3个月死亡。
Objectives To evaluate the clinical and radiological characteristic of vascular malformations of the cervical spinal cord, and to report the therapeutic effects of endovascular embolization. Methods Data from 21 patients (From January, 1991 to June 2000) with vascular malformation of the cervical spinal cord were analyzed retrospectively with an emphasis on the therapeutic methods. Results The 21 patients were treated by vascular embolization with silk partite and/or NBCA. Over 90% malformation was occluded in 7 patients,80%-90%, in 8, 60%-80% in 4, and less than 60% in 2. Symptomatic relief was seen in 15 patients, no change in 5 and 1 died 3 months after surgery. Conclusion Endovascular embolization is effective in the treatment of vascular malformation of cervical spinal cord.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2001年第2期126-127,共2页
Chinese Journal of Surgery
