顶枕叶脑动静脉畸形致颅内出血治疗体会  

Surgical strategy of arteriovenous malformation located in parietal-occipital lobe with intracranial bleeding

作　　者：景英朝[1] 姚晓腾[1] 荆国杰[1] 祝刚[2] 林才[1] 谢乙团[1] 

机构地区：[1]广东惠州市第一人民医院神经外科,惠州516000 [2]广东惠州市中心人民医院神经外科,惠州516000

出　　处：《中国实用神经疾病杂志》2011年第9期22-23,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨顶枕交界部脑动静脉畸形(AVM)伴颅内出血的治疗方案。方法采用栓塞或栓塞联合手术治疗顶枕叶AVM伴颅内出血患者31例,其中29例行单纯介入栓塞(93.5%),2例因栓塞后头颅CT证实再出血行急诊手术清除血肿并切除畸形血管(6.5%)。结果本组无死亡病例,术后遗留命名性失语2例,6例术前伴肢体偏瘫患者术后肌力均恢复满意。结论血管内栓塞或栓塞联合手术病死率、并发症发生率低,是治疗枕顶叶AVM的有效方法。Objective To discuss the surgical strategy of ateriovenous malformation located in parietal-occipital lobe with intracranial bleeding.Methods Thirry-one patients with parietal-occipital lobe AVM with intracranial hemorrhage treated by interventional embolism or microsurgery with pre-surgical embolism were retrospectively analyzed,of which manifested as sudden headache,epilepsy in 24 patients（77.4%）,29 patients（93.5%） were cured by embolism,2 patients（6.5%） were confirmed recurrent hemorrhage by head CT after interventional embolization and underwent emergency surgery to remove the hematoma and resection of AVMs.Results No deaths occured,2 patients remained nominal aphasia,6 patients with preoperative hemiparalysis got satisfactory recovery of muscle strength.Conclusion Endovascular embolism or microsurgical resection combined with pre-operative embolism is a safe and effective way in treating AVM of parietal-occipital lobe,and can reduce the mortality and complication rate.

关 键 词：脑动静脉畸形 颅内出血 介入栓塞 显微手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]