神经内镜辅助手术治疗硬脊膜动静脉瘘  

Neuroendoscope-assisted surgical treatment of spinal dural arteriovenous fistulas

作　　者：杨宁[1] 王东海[1] 徐硕[1] 王新宇[1] 赵鹏[1] 李学恩[1] 江玉泉[1] 李新钢[2] 

机构地区：[1]山东大学齐鲁医院神经外科,济南250012 [2]山东大学脑科研究所

出　　处：《中华医学杂志》2011年第27期1914-1916,共3页National Medical Journal of China

摘　　要：目的探讨神经内镜辅助手术治疗硬脊膜动静脉瘘的手术方法。方法回顾性分析山东大学齐鲁医院2008年11月至2010年11月采用半椎板入路神经内镜辅助手术治疗硬脊膜动静脉瘘8例患者的临床表现、影像学资料、手术方法、术后恢复及随访资料。结果8例患者均为单瘘13病变，术中神经内镜辅助下发现瘘口并行引流静脉切断术，术后复查造影所有病例均影像学治愈；随访3～35个月，平均11-2个月，2例症状完全消失，5例明显好转，1例无变化。结论神经内镜辅助手术治疗硬脊膜动静脉瘘微创、安全、有效。Objective To study the utility of neuroendoscope-assisted surgery in the treatment of spinal dural arteriovenous fistulas. Methods From November 2008 to November 2010, 8 cases of spinal dural arteriovenous fistulas underwent neuroendoscope-assisted surgical treatment by a hemilaminectomy approach. Retrospective analyses were performed for their clinical manifestations, imaging findings, surgical approaches, postoperative recovery and follow-up profiles. Results All were of single fistula. Under the assistance of neuroendoseope, the fistulas were found intra-operatively and the draining veins disconnected successfully. The results of post-operative angiography showed the disappearance of all draining veins. After a follow-up period of 3-35 months, 2 cases became asymptomatic, 5 cases improved obviously and 1 case had no change. Conclusion Neuroendoscope-assisted surgery is mini-invasive, safe and effective in the treatment of spinal dural arteriovenous fistulas.

关 键 词：硬脊膜动静脉瘘 神经内镜 手术治疗 

分 类 号：R651.1[医药卫生—外科学]