脑动静脉畸形血管内栓塞治疗的NBCA铸型技术  

Cast technique of NBCA in endovascular embolization of cerebral arterio-venous malformation

作　　者：汪求精[1] 李铁林[1] 段传志[1] 

机构地区：[1]第一军医大学珠江医院神经外科,广州510282

出　　处：《广东医学》2001年第4期296-297,共2页Guangdong Medical Journal

基　　金：九五国家医学科技攻关资助项目!(编号 :96 - 90 7- 0 2 - 0 1 )

摘　　要：目的　探讨应用NBCA血管内栓塞治疗CAVM的铸型技术。方法　分析和总结 2 2 0例CAVM血管内栓塞过程中注胶 (NBCA)经验和体会。结果　 2 2 0例患者采用不同浓度的国产NBCA共实施 5 3 6次栓塞 ,栓塞后畸形团完全闭塞 3 7例 ,90 %以上 5 5例 ,70 %～ 90 % 97例 ,5 0 %～ 70 % 2 1例 ,不足 5 0 % 10例。死亡 1例 ,可逆性肢体功能障碍 3例 ,无永久性神经系统并发症。结论　国产NBCA弥散均匀 ,聚合速度可控制 ,但操作者应掌握一定的铸型技巧。Objective To study the cast technique of endovascular embolization using domestic N-butyl-2-cyanoacrylate (NBCA). Methods\ Endovas-cular injection of NBCA into cerebral arterio-venous malformation (CAVM) in 220 cases was analyzed and evaluated. Results\ 536 embolizations with different concentration of NBCA was performed in 220 cases. Postembolization angiography showed complete obliteration of AVM in 37 cases, more than 90% obliteration in 55, 70%～90% in 97, 50%～70% in 21 and less than 50% in 10 cases. Death in 1, transient limb dysfuntions in 3,and no permanent complication were observed. Conclusion\ Domestic NBCA permeats better and the rate of polymerisation is easily controlled, good cast technique is needed.

关 键 词：脑动静脉畸形 Α-氰基丙烯酸正丁酯 栓塞治疗 NBCA CAVM铸型技术 

分 类 号：R743.405[医药卫生—神经病学与精神病学]