脊髓硬脊膜动静脉瘘的显微外科治疗  

Microsurgical treatment of spinal dural arteriovenous fistulas

作　　者：曹杨[1] 冯恩山[1] 王清河[1] 李培亮[1] 李延滨[1] 王贵怀 

机构地区：[1]首都医科大学附属北京地坛医院神经外科,100015 [2]北京清华长庚医院神经外科,100044

出　　处：《中国微侵袭神经外科杂志》2015年第9期399-401,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的总结应用术前脊髓血管造影、X-线及术中吲哚菁绿荧光造影技术显微手术切除脊髓硬脊膜动静脉瘘（spinal dural arteriovenous fistulas,SDAVF）的治疗经验。方法回顾性分析8例SDAVF病人的临床资料,在脊髓血管造影、X-线及吲哚菁绿术中荧光造影辅助下行显微手术切除SDAVF,对其疗效进行随访。结果全部病例SDAVF完全切除。随访9~17个月,症状好转7例,稳定1例。结论术前脊髓血管造影、X-线及术中吲哚菁绿荧光造影可以显著提高手术成功率。Objective To summarize the experience of the microsurgical treatment of spinal dural arteriovenous fistulas（SDAVF） by using preoperative angiography of spinal cord, X-ray and intraoperative indocyanine green（ICG） videoangiography. Methods Clinical data of 8 patients with SDAVF were analyzed retrospectively. The lesions were removed by microsurgery under the guidance of preoperative angiography of spinal cord, X-ray and intraoperative ICG videoangiography. And the therapeutic efficacy was followed up and evaluated. Results The fistulas were completely removed in 8 patients. All the patients were followed up from 9 to 17 months,improvement occurred in 7 patients and stable in 1. Conclusion The preoperative angiography of spinal cord, X-ray and ICG videoangiography can improve the success rate of operation dramatically.

关 键 词：硬脊膜动静脉瘘 脊髓血管造影 荧光素血管造影术 吲哚菁绿 

分 类 号：R651.2[医药卫生—外科学]