脑动静脉畸形的诊断和治疗  

Cerebral Arteriovenous Malformation diagnosis with cure

作　　者：罗光华[1] 段惠远[1] 陈文飞[1] 

机构地区：[1]海南省人民医院伽玛刀治疗研究中心,海南海口570311

出　　处：《海南医学》2005年第12期1-2,31,共3页Hainan Medical Journal

摘　　要：目的探讨脑动静脉畸形的病因,并针对病因进行诊断和治疗。方法本组71例患者,均分别经CT、MRI、MRA和DSA检查确诊。71例中,手术切除6例,血管内介入治疗15例,伽玛刀治疗35例,手术切除+血管内介入治疗5例,血管内介入+伽玛刀治疗9例,手术治疗+血管内介入+伽玛刀治疗1例。结果治愈33例,病灶缩小37例,无效1例。71例中,轻残3例,死亡1例。结论脑动静脉畸形应根据病灶大小不同、部位不同选择相应的治疗方法,可提高治愈率,降低并发症及死亡率。Objective Study the Cerebral Artefiovenous Malformation of cause of disease and combine to aim at the cause of disease proceeds to examine a patient with cure. Methods This 71 examples get, the divide equallying do not check the It is certain to examine a patient with DSA through the CT, MRI, MRA. 71 example insides, surgical operations cut off 6 examples, afferent insides get involved the treatment 15 examples, gamma knife treatment 35 examples, surgical operation excision＋ the afferent inside get involved treatment 5 examples, afferent inside get involved＋the gamma knife cure 9 examples, surgical operation treatment＋the affer- ent inside get involved＋the gamma knife cure 1 example. Results Cure 33 example, contract 37 example, invalid 1 example. 71 example insides, Light physically disabled 3 example, death 1 example. Conclusions The Cerebral Arteriovenous Malformation should according to the disease cooking stove the size is different, part method of different treatment of cowgirl choice, can increase to cure the rate, and lower the complications and death rate.

关 键 词：脑动静脉畸形 诊断 治疗 

分 类 号：R743.4[医药卫生—神经病学与精神病学]