Onyx胶栓塞治疗硬脑膜动静脉瘘的疗效分析  

Therapeutic effect of treating Dural Arteriovenous Fistula by intravascular interventional embolization

作　　者：李澎[1] 胡立刚[2] 张紫寅[3] 唐建建[3] 杨堃[3] 

机构地区：[1]四川省达州市第二人民医院放射科,四川达州635000 [2]四川大学华西医院神经外科,四川成都610041 [3]海南医学院附属医院神经外科,海南海口570102

出　　处：《中国临床医生杂志》2013年第12期32-34,共3页Chinese Journal For Clinicians

摘　　要：目的探究Onyx胶栓塞30例硬脑膜动静脉瘘(DAVF)的有效性及预后的影响因素。方法回顾性分析使用Onyx胶栓塞的30例DAVF患者资料。经动脉、静脉、动静脉联合入路栓塞的患者例数分别为25例、2例、3例。结果 28例获解剖学治愈,29例获临床症状治愈,术后随访显示病灶闭塞或残余病灶未增大,未见复发。介入治疗30例DAVF患者的临床疗效与Cognard分级有关,分型越低,治疗容易、预后较好,差异有显著性(χ2=3.96,P=0.042)。结论 Onyx胶栓塞DAVF是有效的,Cognard分级越低,愈后越好。Objective To investigate the curative efficacy of 30 patients with DAVF who were treated with intravascular interventional Onyx embolization. Method Chi square test were applied to essay the relationship between thera- peutic effect of intravascular interventional Onyx embolization and the clinical factors, 25 of 30 patients were treated with trans-arterial approach, 2 were treated with traMs-venous approach and 3 were treated with the combined approach. Result After embolization, 29 patients obtained clinical cure, accompany with 28 patients obtained anatomic cure, and there were residual lesions in one patient. Chi square test results showed there were negatively correla- tions between therapeutic effect of intravascular interventional Onyx embolization and the clinical factors, the lower degrade Cognard index was, the higher recovery rate （X2 = 3. 96, P = 0. 042 ）. However, there were not significant difference between trans-arterial approach and traMs-venous approach. Conclusion The lower degrade of Cognard index is, the higher of the recovery rate .

关 键 词：硬脑膜动静脉瘘 介入治疗 栓塞 ONYX 

分 类 号：R743.4[医药卫生—神经病学与精神病学]