血管内介入治疗脑动静脉畸形  

Endovascular Embolization for 11 Patients with Cerebral Arteriovenous Malformations

作　　者：章小兵[1] 黄舜韶[1] 黄立安[1] 乔宏宇[2] 

机构地区：[1]暨南大学第一附属医院神经内科,广州510632 [2]暨南大学第一附属医院放射科,广州510632

出　　处：《现代临床医学生物工程学杂志》2003年第1期23-24,35,共3页Journal of Modern Clinical Medical Bioengineering

摘　　要：目的　探讨血管内栓塞治疗脑动静脉畸形 (AVM)的临床效果和安全性 .方法　应用血管内栓塞治疗脑AVM 11例 ,栓塞剂为NBCA ,栓塞后 3例行手术切除 ,3例行γ -刀治疗 .结果　 1例完全栓塞 ,5例栓塞 70 %～ 90 % ,3例栓塞 5 0 %～ 70 % ,2例栓塞小于 5 0 % .生活、工作完全正常治愈 5例 ,症状明显改善 4例 ,症状无改善 2例 .结论　血管内栓塞治疗脑AVM的方法是相对安全的 ,可治愈部分脑AVM ,对于大型、重要功能区的脑AVM ,血管内栓塞联合手术或放疗可提高治愈率 。Objective To find out the safety and effect of endovascular embolization treatment of cerebral arteriovenous malformations(AVM).Methods From July 1997 to May 2002,11 patients were treated by endovascular embolization,embolic material was NBCA,3 patients underwent surgery,and 3 received γ-knife therapy after embolization.Results After endovascular embolization,one case of the group was anatomically cured,5 cases showed 70%～90% shrinkage of the malformations in size,3 cases with 50%～70% shrinkage,2 cases less than 50% shrinkage.Five cases of the group were totally recovered to normal life,4 cases with marked improvement of symptoms and signs,2 cases with no remarkable improvement of signs.Conclusions endovascular embolization is a safe and effective method for treating AVMs,a few AVMs can be cured by endovascular embolization.In regard to some large AVMs or situated at important functional areas,endovascular embolization combined surgery or γ-knife is a effective method for AVMs with a high cure rate and a low morbidity and mortality.

关 键 词：血管内介入治疗 脑动静脉畸形 栓塞 安全性 临床效果 

分 类 号：R743.4[医药卫生—神经病学与精神病学]