AVM破裂出血手术疗效的影响因素分析  

Analysis of the Influencing Factors of AVM Bleeding for Surgical Treatment

作　　者：吴光明[1] 吴博[1] 陈林[1] 雷开明[1] 

机构地区：[1]毕节地区医院神经外科,贵州毕节551700

出　　处：《昆明医学院学报》2007年第6期73-75,共3页Journal of Kunming Medical College

摘　　要：目的探讨影响破裂出血AVM手术疗效因素,并进行分析.方法对64例破裂出血AVM病人的临床资料、手术情况及病理学检查.结果手术病人预后按GOS评分做评价指标,良好36例(53.3%)、中残13例(2 0.3%)、重残4例(6.4%)死亡11例(17.3%).结论手术疗效与患者发病年龄、血肿部位、出血量及手术时机有关.发病年龄在8～14岁之间,出血量<50 mL,位于大脑凸面的脑叶内,急诊超早期手术的效果较好.Objective To analyze the influencing factors of AVM bleeding for surgical treatment. Methods The 64 cases of bleeding AVM patients＇ clinical informations, condition of surgery and inspection of pathology were summarized. Results The prognosis was evaluated by Glasgow outcome scale （GOS） for every patient after the operation. 36 （ 53.3 % ） recovered well, 13 （20.3 % ） moderately disabled, 4 （6.4 % ） severely disabled, and 11 （17.3 %） died. Conclusions The effect of surgical treatment in patients with the age of onset, the site of hematoma, the bleeding volume and timing of surgery-related. The incidence between the ages of 8 ～14 years of age, the amount of bleeding 〈 50 mL, convex of the brain, the ultra-emergency surgery early have gotten good effect.

关 键 词：出血 AVM 手术治疗 

分 类 号：R651.12[医药卫生—外科学]