硬脑膜动静脉瘘的显微外科手术治疗  

Microsurgical Treatment for Dural Arteriovenous Fistula

作　　者：许万振[1] 慕璐岩[1] 段兴邦[1] 乔万臣[1] 宋玉文[1] 董白晶[1] 刘晓谦[1] 

机构地区：[1]哈尔滨医科大学附属第四医院神经外科,150001

出　　处：《中国微侵袭神经外科杂志》2016年第3期116-118,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的评估显微外科手术治疗硬脑膜动静脉瘘（DAVF）的疗效。方法回顾性分析6例DAVF行显微外科手术治疗的临床资料,其中以蛛网膜下腔出血起病2例,脑出血起病2例,癫疒间发作起病1例,突眼起病1例。结果血管畸形经手术切除,术前症状均不同程度改善。本组于术后6个月行DSA或CTA复查,病灶完全切除,未见血管畸形残留或复发。随访1-5.5年,平均2.1年,随访期间未见颅内出血及新发神经功能障碍。按ADL分级：Ⅰ级5例,Ⅱ级1例。结论显微外科手术治疗硬脑膜动静脉瘘是一种安全、有效的措施。Objective To evaluate the therapeutic outcome of microsurgery for dural arteriovenous fistulas（DAVF）. Methods Clinical data of 6 patients with DAVF underwent microsurgery were analyzed retrospectively, including onset as subarachnoid hemorrhage in 2patients, cerebral hemorrhage in 2, epilepsy in 1 and exophthalmos in 1. Results All the vascular malformations were resected, and the preoperative symptoms improved to different degree. DSA or CTA examinations were performed in all the patients 6 months after the operation. All the lesions were resected completely, and there was no recurrence or residue of vascular malformation. Six patients were followed up for mean period of 2.1 years, ranged from 1 to 5.5 years. However, there was no newly occurred cerebral hemorrhage or nervous dysfunction during the follow-up period, and the activities of daily living achieved grade Ⅰ in 5 patients and grade Ⅱ in 1.Conclusion Microsurgery is a safe and effective therapeutic method for DAVF.

关 键 词：动静脉瘘 硬脑膜 蛛网膜下腔出血 显微外科手术 

分 类 号：R651.12[医药卫生—外科学]