显微手术处理硬脊膜动静脉瘘  

Microsurgical Treatment of Spinal Dural Arteriovenous Fistulas

作　　者：彭爱军[1] 高凯[1] 秦洪[1] 王鸿生[1] 

机构地区：[1]扬州市第一人民医院神经外科,江苏扬州225000

出　　处：《中国现代医生》2010年第25期132-133,共2页China Modern Doctor

摘　　要：目的探讨显微手术处理硬脊膜动静脉瘘的方法和疗效的评价。方法回顾性分析12例经脊髓血管造影确诊的硬脊膜动静脉瘘患者的临床资料,根据计划手术节段前X线定位,采用后正中入路切除半侧椎板,切开硬脊膜,显微镜下探查硬脊膜动静脉瘘口,在硬脊膜内灼闭血管瘘口并剪断,缝合硬脊膜。结果 11例术后症状改善,其中运动功能改善最明显,感觉障碍改善次之,1例无改善。无手术并发症,无复发。结论显微手术治疗硬脊膜动静脉瘘创伤小、方法简单、效果肯定,可作为硬脊膜动静脉瘘的首选治疗方法。Objective To discuss the experience and effect of microsurgical treatment of spinal dural arteriovenous fistulas（SDAVF）. Methods Twelve cases of SDAVF proved by spinal angiography were reviewed, according to the plan pre-operative X-ray localization segments, hemilaminectomy approach was performed by posteriormedial approach. Under the microscope detection of spinal dural arteriovenous fistula in the epidural blood vessels inside the burning fistula closed, and cut and sew spinal dura mater. Results After operation 11 cases of postoperative symptom improvement, in which motor function improved mostly, sensory disturbances improved secondly, one was no improvement, no operative complications and no recurrence. Conclusion Microsurgical interruption of fistulae is effective in the treatment of SDAVF, which can be the first choice for SDAVF treatment.

关 键 词：硬脊膜动静脉瘘 显微手术 脊髓 

分 类 号：R651.2[医药卫生—外科学]