中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
14期
30-33
,共4页
颅内动静脉畸形%显微外科手术%栓塞,治疗性
顱內動靜脈畸形%顯微外科手術%栓塞,治療性
로내동정맥기형%현미외과수술%전새,치료성
Intracranial arteriovenous malformations%Microsurgery%Embolization,therapeutic
目的 探讨脑动静脉畸形的治疗方法和疗效.方法 回顾性分析13例脑动静脉畸形患者栓塞后早期显微手术切除治疗的临床资料.S-M分级:Ⅲ级3例,Ⅳ级6例,Ⅴ级4例.畸形血管团最长径2.6～ 11.8(6.8± 1.6) cm.均接受栓塞后早期(≤3 d)显微外科手术治疗,以格拉斯哥预后评分(GOS)评价疗效.结果 4例术后无症状加重;2例症状改善;7例出现相应部位的定位神经功能障碍,其中感觉障碍1例,单肢轻偏瘫2例,偏盲1例,失语1例,四肢瘫痪1例,癫痫1例,无死亡.术后GOS 5分6例,4分4例,3分2例,2分1例.术后血管造影示全切除8例,近全切除4例,部分切除1例.结论 栓塞后早期显微手术切除是脑动静脉畸形有效的治疗方法.
目的 探討腦動靜脈畸形的治療方法和療效.方法 迴顧性分析13例腦動靜脈畸形患者栓塞後早期顯微手術切除治療的臨床資料.S-M分級:Ⅲ級3例,Ⅳ級6例,Ⅴ級4例.畸形血管糰最長徑2.6～ 11.8(6.8± 1.6) cm.均接受栓塞後早期(≤3 d)顯微外科手術治療,以格拉斯哥預後評分(GOS)評價療效.結果 4例術後無癥狀加重;2例癥狀改善;7例齣現相應部位的定位神經功能障礙,其中感覺障礙1例,單肢輕偏癱2例,偏盲1例,失語1例,四肢癱瘓1例,癲癇1例,無死亡.術後GOS 5分6例,4分4例,3分2例,2分1例.術後血管造影示全切除8例,近全切除4例,部分切除1例.結論 栓塞後早期顯微手術切除是腦動靜脈畸形有效的治療方法.
목적 탐토뇌동정맥기형적치료방법화료효.방법 회고성분석13례뇌동정맥기형환자전새후조기현미수술절제치료적림상자료.S-M분급:Ⅲ급3례,Ⅳ급6례,Ⅴ급4례.기형혈관단최장경2.6～ 11.8(6.8± 1.6) cm.균접수전새후조기(≤3 d)현미외과수술치료,이격랍사가예후평분(GOS)평개료효.결과 4례술후무증상가중;2례증상개선;7례출현상응부위적정위신경공능장애,기중감각장애1례,단지경편탄2례,편맹1례,실어1례,사지탄탄1례,전간1례,무사망.술후GOS 5분6례,4분4례,3분2례,2분1례.술후혈관조영시전절제8례,근전절제4례,부분절제1례.결론 전새후조기현미수술절제시뇌동정맥기형유효적치료방법.
Objective To investigate the treatment method and efficacy of patients with cerebral arteriovenous malformation.Methods The data of 13 cerebral arteriovenous malformation patients who treated by early microsurgery resection after preoperative embolization were retrospectively analyzed.S-M grading:Ⅲ grade 3 cases,Ⅳ grade 6 cases,Ⅴ grade 4 cases.The long diameter of malformation blood vessel was 2.6-11.8 (6.8 ± 1.6)cm.All the patients were received early (≤ 3 d) microsurgery resection after preoperative embolization.Glasgow outcome score (GOS) was picked as the criterion to evaluate the efficacy.Results No postoperative symptom increased was in 4 cases;symptom improving was in 2 cases;7 cases were appeared the corresponding parts of the localization of nerve dysfunction,among sensation disorders 1 case,light hemiplegia of unilateral 2 cases,hemianopsia 1 case,aphasia 1 case,quadriplegia 1 case,epilepsy 1 case.There was no death in the patients.Postoperative GOS 5 scores was in 6 cases,4 scores was in 4 cases,3 scores was in 2 cases,2 scores was in 1 case.The postoperative angiography showed complete resection was in 8 cases,intimate complete resection was in 4 cases,partial resection was in 1 case.Conclusion Early microsurgical resection after preoperative embolization of intracranial arteriovenous malformation is the effective treatment method.
