CAJ | 학술논문

目的：探讨脑动静脉畸形（AVM）急性破裂出血急诊手术题。方法采用显微神经外科手术治疗27例，CT显示考虑AVM出血颅内血肿19例，术前经MRA提示脑动静脉畸形18例，行血肿清除加AVM切除术，5例行血肿清除去骨瓣减压术。结果本组无死亡，恢复优良16例，良7例，差2例，20例术后复查DSA或MRA.17例AVM消失。结论显微外科手术治疗是AVM破裂出血首选治疗方法。
목적：탐토뇌동정맥기형（AVM）급성파렬출혈급진수술제。방법채용현미신경외과수술치료27례，CT현시고필AVM출혈로내혈종19례，술전경MRA제시뇌동정맥기형18례，행혈종청제가AVM절제술，5례행혈종청제거골판감압술。결과본조무사망，회복우량16례，량7례，차2례，20례술후복사DSA혹MRA.17례AVM소실。결론현미외과수술치료시AVM파렬출혈수선치료방법。
Objective Explore brain arteriavenous malformation,Aoute burst bleeds emergency operation problem.Methods Microsurgical treatment of 27 cases of neurosurgery,CT showed intracranial hematoma considered 19 cases of AVM hemorrhage,By MRA tip brain before 18 cases arteriovenous fistula,Go swollen slearance of blood to add AVM resection,5 underwent hematoma decompression craniectomy.Results No deaths in this group,Restore good 16cases,Good in 7 cases,2 cases of bad,20 post-surgical review DSA or MRA,17 cases AVM disappear.Conclusion Microsurgical treatment is AVM burst bleeds prefewed treatment.