小脑动静脉畸形伴发动脉瘤栓塞治疗  

Interventional embolization therapy for cerebellar arteriovenous malformations associated with aneurysm

作　　者：朱国辉[1] 段传志[1] 李西锋[1] 张炘[1] 何旭英[1] 李维[1] 赖凌峰[1] 陈敏[1] 

机构地区：[1]南方医科大学珠江医院神经外科,广州510280

出　　处：《介入放射学杂志》2015年第5期369-372,共4页Journal of Interventional Radiology

摘　　要：目的探讨血管内栓塞治疗小脑动静脉畸形(AVM)伴发动脉瘤的技术要点及临床效果。方法回顾性分析就诊于我科、诊断为小脑AVM患者142例,其中42例伴发动脉瘤。将患者分为伴发动脉瘤组和不伴发动脉瘤组,采用单因素及多因素分析方法研究两组病例的性别、年龄、是否伴有出血、畸形团位置、大小及是否伴有深静脉引流。结果 42例患者共伴发61个动脉瘤,其中位于畸形团内14个,位于供血动脉上47个。畸形团内动脉瘤与畸形团破裂出血及伴有深静脉引流密切相关。42例患者栓塞治疗后随访期间,未见复发出血。结论为了降低远期复发出血发生率,栓塞治疗小脑AVM伴发动脉瘤患者时应围绕动脉瘤处理制定治疗措施。Objective To evaluate the clinical effect of endovascular embolization for the treatment of cerebellar arteriouvenous malformations （AVMs） associated with aneurysm, and to discuss its technical points. Methods The clinical data of 142 patients with cerebellar AVMs were retrospectively analyzed. Of the 142 patients, 42 had concomitant aneurysms. The patients were divided into concomitant aneurysm group and without aneurysm group. Using univariate and multivariate statistical models, the patient’s gender and age, the presence or absence of hemorrhage, the lesion’s location and size, and the presence or absence of deep venous drainage were analyzed. Results A total of 61 concomitant aneurysms were detected in the 42 patients, which were located within the malformation mass （n=14） or on the feeding artery （n=47）. The concomitant aneurysms located in the malformation were closely related to AVM hemorrhage and the deep venous drainage. During the follow-up period after endovascular embolization, no recurrence of bleeding was observed in all the 42 patients. Conclusion In order to reduce the relapse rate of hemorrhage, the formulation of therapeutic measures should be based on the management of the concomitant aneurysm when endovascular embolization treatment is employed for AVM associated with aneurysm.

关 键 词：小脑 动静脉畸形 动脉瘤 栓塞 治疗性 

分 类 号：R743[医药卫生—神经病学与精神病学]