枕大孔区硬脑膜动静脉瘘的手术治疗策略  

The surgical treatment strategies of dural arteriovenous fistula in foramen magnum region

作　　者：常海春 张鹏[2] 叶明[2] 

机构地区：[1]山东省昌乐县中医院神经外科,262400 [2]首都医科大学宣武医院神经外科,北京100053

出　　处：《中国医师进修杂志》2014年第20期26-28,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨枕大孔区硬脑膜动静脉瘘（DAVF）的血管构筑特点及相应的治疗策略。方法回顾性分析全脑数字减影血管造影（DSA）确诊的13例枕大孔区DAVF患者的临床资料。结果13例患者术中均准确找到瘘口并完全切除，患者出院前行DSA复查确认DAVF瘘口完全消失，所有患者症状均有不同程度好转。结论枕大孔区DAVF的临床表现、预后、治疗方式取决于其血管构筑模式，特别是病灶部位和静脉引流方式，外科手术一般能找到瘘口并能将其完全切除。Objective To explore the angioarchitectrue characteristics and appropriate treatment strategies of dural arteriovenous fistula （DAVF） in foramen magnum region. Methods The clinical data of patients with DAVF diagnosed by digital subtraction angiography （DSA） were analyzed retrospectively. Results Thirteen patients intraoperative were found fistula and complete resection, patients discharged from hospital,DSA check showed that the DAVF fistula completely disappeared,all patients symptoms were improved to different extents. Conclusions The clinical features,prognosis and treatment methods of DAVF in forament magnum region depends on its angioarchitecture, especially the lesion site and venous drainage, surgical operation can usually find the fistula and can be completely removed.

关 键 词：动静脉瘘 外科手术 枕大孔区 

分 类 号：R651.1[医药卫生—外科学]