血管内栓塞治疗髓周动静脉瘘效果  

Therapeutic effect of endovascular embolization for perimedullary arteriovenous fistula

作　　者：何浩 徐振 许莺歌 张松[1] 朱明[1] 闫磊[1] 吴垠垠 水少锋[1] HE Hao;XU Zhen;XU Yingge;ZHANG S ong;ZHU Ming;YAN Lei;WU Yinyin;SHUI Shaofeng(Department of Interventional Radiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院介入科,河南郑州450052

出　　处：《中国介入影像与治疗学》2023年第12期726-729,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察血管内栓塞治疗髓周动静脉瘘(PMAVF)的效果。方法回顾性分析8例接受血管内栓塞治疗的PMAVF患者资料,记录治疗后即刻及6个月后复查DSA所见;对比治疗前及6个月后改良Aminoff-Logue评分(mALS)。结果8例PMAVF中,Ⅰ型2例、Ⅱ型5例、Ⅲ型1例;对其中3例以Onyx胶栓塞、5例以Glubran胶栓塞。治疗结束后即刻造影提示8例瘘口均被完全栓塞;6个月后复查脊髓DSA显示瘘口无复发。8例中1例痊愈、7例改善;治疗后6个月mALS(2.25±2.12)低于治疗前(5.50±2.39)(P<0.05)。结论血管内栓塞能安全、有效治疗PMAVF。Objective To observe the therapeutic effect of endovascular embolization for perimedullary arteriovenous fistula(PMAVF).Methods Data of 8 PMAVF patients who underwent endovascular embolization were retrospectively analyzed.Findings of digital subtraction angiography(DSA)immediately and 6 months after treatment were reviewed,and the modified Aminoff-Logue score(mALS)was compared before and 6 months after treatment.Results Among 8 cases of PMAVF,there were 2 cases of typeⅠ,5 cases of typeⅡand 1 case of typeⅢ,among them 3 were treated with Onyx glue while 5 with Glubrane glue.The immediate DSA results after treatment showed complete embolization of the fistula in all 8 cases,while those 6 months after treatment showed no recurrence.One case recovered and the other 7 cases improved,and mALS(2.25±2.12)6 months after treatment was lower than that(5.50±2.39)before treatment(P<0.05).Conclusion Endovascular embolization could safely and effectively treat PMAVF.

关 键 词：放射摄影术 介入性 栓塞 治疗性 中枢神经系统血管畸形 

分 类 号：R744.1[医药卫生—神经病学与精神病学] R815[医药卫生—临床医学]