CAJ | 학술논문

目的探讨神经内镜辅助手术治疗硬脊膜动静脉瘘的手术方法.方法回顾性分析山东大学齐鲁医院2008年11月至2010年11月采用半椎板入路神经内镜辅助手术治疗硬脊膜动静脉瘘8例患者的临床表现、影像学资料、手术方法、术后恢复及随访资料.结果 8例患者均为单瘘口病变,术中神经内镜辅助下发现瘘口并行引流静脉切断术,术后复查造影所有病例均影像学治愈;随访3～35个月,平均11.2个月,2例症状完全消失,5例明显好转,1例无变化.结论神经内镜辅助手术治疗硬脊膜动静脉瘘微创、安全、有效.
목적 탐토신경내경보조수술치료경척막동정맥루적수술방법.방법 회고성분석산동대학제로의원2008년11월지2010년11월채용반추판입로신경내경보조수술치료경척막동정맥루8례환자적림상표현、영상학자료、수술방법、술후회복급수방자료.결과 8례환자균위단루구병변,술중신경내경보조하발현루구병행인류정맥절단술,술후복사조영소유병례균영상학치유;수방3～35개월,평균11.2개월,2례증상완전소실,5례명현호전,1례무변화.결론 신경내경보조수술치료경척막동정맥루미창、안전、유효.
Objective To study the utility of neuroendoscope-assisted surgery in the treatment of spinal dural arteriovenous fistulas.Methods From November 2008 to November 2010,8 cages of spinal dural arteriovenous fistulas underwent neuroendoscope-assisted surgical treatment by a hemilaminectomy approach.Retrospective analyses were performed for their clinical manifestations,imaging findings,surgical approaches,postoperative recovery and follow-up profiles.Results All were of single fisula.Under the assistance of neuroendoscope,the fistulas were found intra-operatively and the draining veins disconnected successfully.The results of post-operative angiography showed the disappearance of all draining veins.After a follow-up period of 3-35 months,2 cases became asymptomatic,5 cases improved obviously and 1 case had no change.Conclusion Neuroendoscope-assisted surgery is mini-invasive,safe and effective in the treatment of spinal dural arteriovenous fistulas.