脑动静脉畸形128例分析  

Analysis of datas of 128 patients with cerebral arteriovenous malformations

作　　者：江峰[1] 祝新根[1] 江自强[1] 

机构地区：[1]南昌大学第二附属医院,南昌330006

出　　处：《江西医药》2007年第7期586-588,共3页Jiangxi Medical Journal

摘　　要：目的探讨脑动静脉畸形(AVMs)的主要临床特点和有效的治疗方法。方法回顾分析1995年1月～2006年6月收治的128例AVMs患者的临床资料。结果脑AVMs好发年龄为14～40岁(89例,65%),以出血为首发症(58%)、头痛(24%)、癫痫(18%);AVMs出血多见于病变体积较小的患者,但和供血动脉多少没有明显关系。结论脑AVMs是青年患者自发性颅内出血最常见的原因之一。手术切除、栓塞、立体定向放射治疗或联合应用,是当前治疗脑动静脉畸形的有效方法。AVMs发生出血与其体积大小有关和供血动脉多少没有明显的关系。Objective To analyse 128 case of cerebral arteroivenous malformations （AVMs）,their clinical characteristics and method of effective treatment.Methods 128 case of AVM were treated form January 1995 to June 2006 and anaylsed retrospectively. All cases were confirmed by CT,MRI ,DSA and were operated.Results Cerebral AVMs were more commonly seen in 10-40 years （65%）. Hemorrhage（58%） ,Headache（24%）and Epilepsia（ 18%）were the main three clinical presentations.Hemorrhage of AVMs was more commonly occurred in small size of AVM.Conclusion （ 1 ）Cerebral arteriovenous malformation is one of the important cause for spontaneous intracranial hemorrhage in young patients. （2）The appropriate treating method includes surgical resection,embolization,radio--surgery,or their combination.All of these depends on the different clinical feature of each patient. （3）There is no clear relation between hemorrhage and the number of feeding arteries but more commonly in small size of AVMs.

关 键 词：脑动静脉畸形 临床特征 治疗方法 

分 类 号：R743[医药卫生—神经病学与精神病学]