应用真丝微粒栓塞治疗脊髓血管畸形  

Therapeutic embolization of spinal arteriovenous malformation with silk particles

作　　者：徐国政[1] 王全禄 李世鉴 马廉亭[1] 余泽[1] 秦尚振[1] 龚杰[1] 杨铭[1] 吴佐泉[1] 

机构地区：[1]广州军区武汉总医院神经外科,河南省南阳地区直公疗医院,河南省南召县卫生局

出　　处：《中华神经外科杂志》1995年第1期12-14,共3页Chinese Journal of Neurosurgery

摘　　要：应用真丝微粒栓塞治疗脊髓血管畸形１２例，所有病例均行选择性数字减影脊髓血管造影确诊，根据病变部位及供血动脉情况采用经造影导管直接栓塞９例和微导管超选择栓塞３例。栓塞后造影，病变闭塞９０％以上者１０例，病变闭塞８０％～９０％２例。临床症状明显改善１０例，无变化２例。我们对其栓塞材料、方法及适应证等问题进行了讨论。Abstract patients with the spinal arteriovenous malformations(AVMs), which were diagnosed by the selective spinal angiography, and treated by endovascular embolization with silk particles. These AVMs located at the cervical segments in 2 cases. at the thoracic segments in 7 cases at and lumbosacral segments in 3cases. The nidi were endovascularly embolized by selective and superselective catheterzation according to the location of the AVMs and thecondition of their feeding arteries. Angiography performed after embolization showed that more than 90% of the nidi were embolization in 10 patients and 80%-90% were embolized in 2 patients. After treatment 10 patients were improved. 2 patients were unchanged.In this report, the embolitic materials, technique, and indications were also discussed.

关 键 词：脊髓血管畸形 血管造影 真丝微粒 栓塞治疗 

分 类 号：R744.105[医药卫生—神经病学与精神病学]