儿童型脑动静脉畸形的结构特征及介入栓塞治疗的研究进展  

Research progress of interventional embolization therapy for pediatric brain arteriovenous malformation

作　　者：尚成浩 唐海双 李嘉楠 张广浩 李喆 许奕 黄清海 刘建民 李强 Shang Chenghao;Tang Haishuang;Li Jia′nan;Zhang Guanghao;Li Zhe;Xu Yi;Huang Qinghai;Liu Jianmin;Li Qiang(不详;Cerebrovascular Disease Center,the First Affiliated Hospital of Naval Military Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院脑血管病中心,上海200433 [2]海军军医大学海军特色医学中心

出　　处：《中国脑血管病杂志》2021年第11期804-808,F0003,共6页Chinese Journal of Cerebrovascular Diseases

基　　金：上海市申康三年行动计划重大临床研究项目(SHDC2020CR4037);国家自然科学基金面上项目(81771266)。

摘　　要：儿童型脑动静脉畸形少见且复杂,是儿童出血性卒中的主要原因。相较于成人,其结构特征、自然病程尚未完全明确,治疗策略仍有争议,其治疗方式目前主要包括介入栓塞、立体定向放射、显微外科手术、综合治疗。随着材料学及介入技术的不断进展,血管内介入治疗已从原来的辅助治疗转变为脑动静脉畸形主要的治疗方式。该文通过回顾相关文献,对儿童型脑动静脉畸形的结构特征及介入栓塞治疗的研究进展进行综述。Pediatric brain arteriovenous malformation(BAVM)is a rare and complicated disease,and the main cause of pediatric hemorrhagic stroke.Compared to the BAVM in adults,the structural characteristics and natural course of pediatric BAVM are not completely clear and the treatment strategy is still controversial.At present,the treatment methods mainly include interventional embolization,stereotactic radiation,microsurgery and comprehensive treatment.With the continuous progress of interventional materials and techniques,interventional treatment has gradually changed from an adjuvant treatment into the main treatment strategy.The authors reviewed the literature on the structural characteristics of pediatric BAVM and the research progress of interventional embolization.

关 键 词：颅内动静脉畸形 儿童 血管构筑学 血管内治疗 综述 

分 类 号：R743.4[医药卫生—神经病学与精神病学]