血管内介入诊疗技术在脑动静脉畸形中的应用  

Angiographic diagnosis and embolization treatment of cerebral arteriovenous malformations

作　　者：戚跃勇[1] 邹利光[1] 孙清荣[1] 刘卫金[1] 程相晨[1] 梁开运[1] 夏良[1] 

机构地区：[1]第三军医大学附属新桥医院放射科,重庆400037

出　　处：《医师进修杂志》2004年第10期21-22,共2页Journal of Postgraduates of Medicine

摘　　要：目的　探讨血管内介入诊疗技术在脑动静脉畸形诊疗中的价值。方法　回顾性分析 98例脑动静脉畸形的血管内介入诊疗资料。结果　DSA能明确诊断 ,显示供血动脉、畸形血管团及引流静脉的情况。 5 2例栓塞治疗的技术成功率为 1 0 0 %,单纯真丝线段栓塞 36例 ,真丝线段和α-氰基丙烯酸正丁酯 (NBCA)联合栓塞 1 6例。栓塞程度 :畸形血管团完全消失者 1 2例 ,畸形血管团减少 75 %以上者 2 1例 ,畸形血管团减少在 5 0 %～ 75 %者 1 1例 ,畸形血管团缩小不足 5 0 %者 8例。结论　DSA检查是脑动静脉畸形合理而可靠的诊断方法 ,有利于估计其预后并制订治疗方案 ,血管内栓塞治疗是其安全有效的治疗手段。Objective To make a further understanding of DSA appearances of the cerebral arteriovenous malformations and to explore the value of the embolization therapy of it. Methods Ninty-eight patients with cerebral arteriovenous malformations (AVMs) [67 men, 31 women; aged 8～54 years; average age(31.5±4.5) years],underwent selective angiography and embolization were analyzed retrospectively. Results Of the 98 patients who underwent selective DSA, the supplying artery,nidus and draining veins were clearly shown. The successful rate of embolism technique was 100%. The feeding arteries were performed with silk thread alone in 36 cases,and with silk thread and NBCA in 16 cases. Malformed vascular mass completely disappeared in 12 cases. Over 75% of the malformed vascular mass disappeared in 21 cases,50%～75% in 11 cases,and less than 50% in 8 cases. Conclusion DSA is one of the ideal and reliable diagnoses methods,and it is very important to assess the prognosis and to work out the therapy plan. Transcatheter arterial embolization is an effective and safe therapeutic method for cerebral arteriovenous malformation when superselective catheterization is perfectly done.

关 键 词：脑动静脉畸形 血管造影 放射学 介入性 栓塞 治疗性 

分 类 号：R743.4[医药卫生—神经病学与精神病学]