目的：探讨脊髓血管畸形杂交手术中美兰血管造影的方法及效果。方法患者仰卧位穿刺股动脉、留置长鞘，保留长鞘尾端在体外的长度约20 cm ，并将其无菌包裹后固定在臀部外侧。然后患者改为俯卧位行后入路脊髓血管畸形切除，术中将造影管...目的：探讨脊髓血管畸形杂交手术中美兰血管造影的方法及效果。方法患者仰卧位穿刺股动脉、留置长鞘，保留长鞘尾端在体外的长度约20 cm ，并将其无菌包裹后固定在臀部外侧。然后患者改为俯卧位行后入路脊髓血管畸形切除，术中将造影管埋入供血动脉，分别使用碘造影剂和美兰进行脊髓血管造影。美兰造影过程中使用诱发电位监测脊髓功能。结果2013年7月～2015年9月完成脊髓血管畸形杂交手术中美兰血管造影46例，其中31例男性，15例女性；年龄13～65岁，平均35．6岁；髓内动静脉畸形30例，髓周动静脉瘘16例。其中38例（81．6％）病变完全切除，8例（18．4％）髓内动静脉畸形为保留脊髓功能次全切除病变。美兰造影过程中未见诱发电位改变。结论脊髓杂交手术中，美兰血管造影能够帮助术者辨别畸形血管团的结构，是一种简单、安全、有效的血管造影方法。展开更多
Purpose To analyse the magnetic resonance imaging (MRI) features of vascular malformation in spinal canal. Materials and methods We retrospectively reviewed the spinal MRI findings of 25 patients with vascular malform...Purpose To analyse the magnetic resonance imaging (MRI) features of vascular malformation in spinal canal. Materials and methods We retrospectively reviewed the spinal MRI findings of 25 patients with vascular malformation in spinal canal (14 male,11 female,age range 5 - 56 years old). The diagnosis were established by MRI and proved by pathology and partly by angiography. Results Among the 20 cases of arteriovenous malformation(AVM)in this series,MRI detects a specific flow void appearance in spinal canal. Conclusion MRI may represent the best modality for the screening of patients suspected with vascular malformation in spinal canal,it is the first choice of method in the diagnostic examination of the disease.展开更多
文摘目的：探讨脊髓血管畸形杂交手术中美兰血管造影的方法及效果。方法患者仰卧位穿刺股动脉、留置长鞘，保留长鞘尾端在体外的长度约20 cm ，并将其无菌包裹后固定在臀部外侧。然后患者改为俯卧位行后入路脊髓血管畸形切除，术中将造影管埋入供血动脉，分别使用碘造影剂和美兰进行脊髓血管造影。美兰造影过程中使用诱发电位监测脊髓功能。结果2013年7月～2015年9月完成脊髓血管畸形杂交手术中美兰血管造影46例，其中31例男性，15例女性；年龄13～65岁，平均35．6岁；髓内动静脉畸形30例，髓周动静脉瘘16例。其中38例（81．6％）病变完全切除，8例（18．4％）髓内动静脉畸形为保留脊髓功能次全切除病变。美兰造影过程中未见诱发电位改变。结论脊髓杂交手术中，美兰血管造影能够帮助术者辨别畸形血管团的结构，是一种简单、安全、有效的血管造影方法。
文摘Purpose To analyse the magnetic resonance imaging (MRI) features of vascular malformation in spinal canal. Materials and methods We retrospectively reviewed the spinal MRI findings of 25 patients with vascular malformation in spinal canal (14 male,11 female,age range 5 - 56 years old). The diagnosis were established by MRI and proved by pathology and partly by angiography. Results Among the 20 cases of arteriovenous malformation(AVM)in this series,MRI detects a specific flow void appearance in spinal canal. Conclusion MRI may represent the best modality for the screening of patients suspected with vascular malformation in spinal canal,it is the first choice of method in the diagnostic examination of the disease.
