侧窦区硬脑膜动静脉瘘的诊断与治疗  

Sigmoid sinus dural arteriovenous fistla:diagnosis and treatment

作　　者：李铁林[1] 段传志[1] 韩志安[1] 汪求精[1] 赵刚[1] 苏正[1] 徐如祥[1] 

机构地区：[1]第一军医大学珠江医院神经外科,广东广州510282

出　　处：《第一军医大学学报》2001年第4期298-300,共3页Journal of First Military Medical University

摘　　要：目的探讨侧窦区硬脑膜动静脉瘘的病因、发生机制、临床症状及诊治方法。方法１９例病人中，１７例病人应用微 导管技术，在数字减影血管造影机（ＤＳＡ）监视下，对侧窦区硬脑膜动静脉瘘行血管内栓塞治疗，２例单纯应用颈动脉压 迫法治疗。结果１９例中，１０例治愈；４例症状明显改善；４例好转；１例死亡。结论应用颈动脉压迫法及微导管栓塞技 术是治疗侧窦区硬脑膜动静脉瘘的有效手段。Objective To investigate the etiology and clinical symptoms of dural arteriovenous fistula DAVF) and explore its diagnostic and treatment approaches. Method Of the 19 patients with DAVFs, 17 were examined by the microcather technique under close monitoring by cerebral digital substraction angiography (DSA), and were treated by embolization method with several prepared materials. The other 2 cases were managed by way of compression of the affected carotid artery. Results Of the 19 patients, 10 were cured, and the symptoms of 4 were significantly improved. Four patients showed gradual improvement after treatment, and I died. Conclusion The embolization method combined with compression of the affected carotid artery was effective in managing dural arteriovenous fistula.

关 键 词：侧窦区硬脑膜动静脉瘘 栓塞治疗 诊断 DSA DAVFs 

分 类 号：R651.1[医药卫生—外科学]