血管内栓塞治疗硬脊膜动静脉瘘临床结果  

Endovascular embolization treatment for the spinal dural arteriovenous fistulae

作　　者：解玲玲[1] 孙成建[1] 王彦华[1] 王承恩[1] 刘彤晖[1] 任伟超[1] 

机构地区：[1]青岛大学附属医院介入医学科,山东青岛266003

出　　处：《介入放射学杂志》2015年第3期185-187,共3页Journal of Interventional Radiology

摘　　要：目的报道血管内栓塞治疗硬脊膜动静脉瘘(SDAVF)的临床和影像学结果。方法回顾性分析青岛大学附属医院介入医学科治疗的7例SDAVF患者流行病学、脊髓MRI及脊髓DSA、治疗方法及术后随访资料。结果 7例患者脊髓MRI均有异常发现,DSA明确诊断后均行血管内栓塞治疗。术后随访6个月,7例患者症状得到不同程度改善,其中经NBCA胶栓塞治疗4例无复发,经Onyx胶栓塞治疗3例中1例复发。结论血管内栓塞是治疗SDAVF有效、安全的方法,但还需进一步探索。Objective To investigate the clinical effect of endovascular embolization in treating spinal dural arteriovenous fistulae,and to discuss its imaging manifestations.Methods A total of 7 patients with spinal dural arteriovenous fistulae were included in this study.Endovascular embolization was carried out in all the 7 patients.The clinical data,including epidemiology,spinal MRI and DSA manifestations,therapeutic method and follow-up findings,were retrospectively analyzed.Results Abnormal MRI manifestations of spinal cord were demonstrated in all 7 patients.After the diagnosis was confirmed by DSA,endovascular embolization was carried out.All patients were followed up for 6 months,and their clinical symptoms were improved in different degrees.N-butyl cyanoacrylate（NBCA） glue was used as embolization agent in 4cases,and no recurrence was observed in them.Onyx liquid glue was used in 3 patients,and in one of them the arteriovenous fistula recurred.Conclusion For the treatment of spinal dural arteriovenous fistulae,endovascular embolization is effective and safe although further investigation is still needed.

关 键 词：硬脊膜动静脉瘘 Α-氰基丙烯酸正丁酯 Onyx液体胶 血管内栓塞 

分 类 号：R744[医药卫生—神经病学与精神病学]