血管内栓塞联合手术切除治疗巨大脑动静脉畸形  

COMBINATION OF SURGICAL RESECTION WITH INTRAVASCULAR EMBOLIZATION FOR TREATMENT OF GIANT CEREBRAL ARTERIOVENOUS MALFORMATIONS

作　　者：周懿[1] 高国栋[1] 赵振伟[1] 秦怀洲[1] 

机构地区：[1]第四军医大学唐都医院

出　　处：《解放军医学杂志》2001年第2期134-135,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：为探讨术前血管内栓塞在治疗巨大脑动静脉畸形 (AVMs)中的作用 ,对 1996年 8月至 1998年 4月2 7例巨大AVMs患者进行了手术治疗。每个患者于术前均行AVMs血管内栓塞。结果发现 ,先行血管内栓塞后进行手术切除可明显减少术中出血 ,大大降低术后致残率和病死率 ,并可有效防止正常灌注压突破综合征(NPPB)。提示血管内栓塞与手术切除联合治疗巨大脑AVMs是一种行之有效的手段。To investigate the effects of preoperative intravascular embolization on treatment of intracranial giant arteriovenous malformations (AVMs), 27 patients with intracranial giant AVMs were successfully treated from August, 1997 to April 1998 every patient was treated with preoperative intravascular embolization. Compared with single surgical resection, it was found that surgical resection after intravenous embolization can greatly reduce the intraoperative hemorrhage, diminish postoperative mortality and morbidity, and prevent normal perfusion pressure breakthrough (NPPB) significantly. The present study suggested that combination of surgical resection and intravascular embolization was an effect way in the treatment of giant cerebral AVMs.

关 键 词：脑动静脉畸形 手术切除 正常灌注压突破综合征 AVMs 血管内栓塞 外科手术 

分 类 号：R743.405[医药卫生—神经病学与精神病学]