伽玛刀治疗脑动静脉畸形远期再出血分析  

Analysis on rebleeding long after gamma-knife radiosurgery for cerebral arteriovenous malformation

作　　者：赵刚[1] 尹方明[2] 梁军潮[1] 吴鸿勋[1] 李林[1] 覃子衡[1] 贺道华[1] 徐波涛[1] 张聿浩[1] 王伟民[1] 

机构地区：[1]广州军区广州总医院神经外科,广州510010 [2]南方医科大学珠江医院神经外科,广州510282

出　　处：《中华神经医学杂志》2006年第12期1254-1255,共2页Chinese Journal of Neuromedicine

摘　　要：目的分析伽玛刀(γ-刀)治疗脑动静脉畸形(cAVM)的再出血率及相关因素。方法对1995年8月￣2002年12月间接受γ-刀治疗3年以上,并且随访资料完全的341例cAVM患者再出血情况进行统计。结果再出血10例(2.9%),其中3例直接导致死亡。结论γ-刀治疗cAVM后再出血率较低,出血较自然病程少,且有一定相关因素。Objective To evaluate the rebleeding rate and its influential factors long after gamma-knife （γ-knife） radiosurgery for cerebral arteriovenous malformations （cAVM）. Methods The patients with cAVM （n=341） treated, after 1995, by Leksell γ-knife were followed up for 3-10 years, and their information were complete. The rebleeding rate of these patients was counted and analyzed statistically. Results Rebleeding happened in 10 cases （2.9%）, among whom 3 died due to rebleeding. Conclusion The cAVM treated by γ-knife radiosurgery is effective with lower rebleeding rate, and it was correlated to multiple factors.

关 键 词：脑动静脉畸形 Γ-刀 再出血 

分 类 号：R651.1[医药卫生—外科学]