CAJ | 학술논문

目的：探讨脑动静脉畸形的临床特点和血管内栓塞治疗方法，以提高脑动静脉畸形的治愈率、降低致残率和死亡率。方法本文回顾了我院2012年1月—2014年12月30例脑动静脉畸形的临床资料，重点讨论了脑AVM的影像学特点、血管内栓塞治疗适应症、方法及注意事项。结果30例病例均血管内栓塞治疗，术后无神经功能缺失加重，无手术死亡，出院时按照史玉泉等标准评定疗效，疗效优良共26例（86.7%），病残4例（13.3%）。23例获得随访，随访时间9~36个月，部分残留复发3例，其余均能正常工作或生活自理。结论血管内栓塞治疗是目前治疗脑AVM的主要方法，随着现代影像学和血管内栓塞技术的进步，能够提高Spetzler-Martin高级别脑AVM的治愈率，降低手术风险；是大型的和位于重要功能区的脑AVM的安全、有效治疗方式。良好的手术麻醉，娴熟的血管内栓塞操作，可以减少周围重要神经及血管的副损伤，降低死亡率、减少并发症。
목적：탐토뇌동정맥기형적림상특점화혈관내전새치료방법，이제고뇌동정맥기형적치유솔、강저치잔솔화사망솔。방법본문회고료아원2012년1월—2014년12월30례뇌동정맥기형적림상자료，중점토론료뇌AVM적영상학특점、혈관내전새치료괄응증、방법급주의사항。결과30례병례균혈관내전새치료，술후무신경공능결실가중，무수술사망，출원시안조사옥천등표준평정료효，료효우량공26례（86.7%），병잔4례（13.3%）。23례획득수방，수방시간9~36개월，부분잔류복발3례，기여균능정상공작혹생활자리。결론혈관내전새치료시목전치료뇌AVM적주요방법，수착현대영상학화혈관내전새기술적진보，능구제고Spetzler-Martin고급별뇌AVM적치유솔，강저수술풍험；시대형적화위우중요공능구적뇌AVM적안전、유효치료방식。량호적수술마취，한숙적혈관내전새조작，가이감소주위중요신경급혈관적부손상，강저사망솔、감소병발증。
Objective:to study the clinical characteristics of cerebral arteriovenous malformation and endovascular embolization method, in order to improve the cure rate of brain arteriovenous malformations, reduce the morbidity and mortality. Methods: this article reviews the hospital between January 2012 and December 2012, the clinical data of 30 cases of cerebral arteriovenous malformation, focused on the imaging characteristics of cerebral AVM, endovascular embolization treatment indications, methods, and matters needing attention.Results: 30 cases were endovascular embolization, postoperative nerve disfunction, die without surgery at discharge in accordance with the standards such as evaluated by evaluation of curative effect, good curative effect, a total of 26 cases (86.7%), the sick 4 cases (13.3%). 23 cases received follow-up, 9 ~ 36 months follow-up time, partial residual recurrence in 3, the rest all can normal work and life.Conclusion: endovascular embolization is the main method of treatment of cerebral AVM, with the progress of modern imaging and endovascular embolization technology, can improve the level of Spetzler - Martin high cure rate of cerebral AVM, reduce the operation risk; Is a large and located in important functional areas of cerebral AVM of safe and effective treatment. Good anesthesia, skillful endovascular embolization operation, can reduce the important nerves and blood vessels around the injury, reduce mortality, reduce the complications.