CAJ | 학술논문

目的：探讨血管内栓塞治疗小脑动静脉畸形（AVM）伴发动脉瘤的技术要点及临床效果。方法回顾性分析就诊于我科、诊断为小脑AVM患者142例，其中42例伴发动脉瘤。将患者分为伴发动脉瘤组和不伴发动脉瘤组，采用单因素及多因素分析方法研究两组病例的性别、年龄、是否伴有出血、畸形团位置、大小及是否伴有深静脉引流。结果42例患者共伴发61个动脉瘤，其中位于畸形团内14个，位于供血动脉上47个。畸形团内动脉瘤与畸形团破裂出血及伴有深静脉引流密切相关。42例患者栓塞治疗后随访期间，未见复发出血。结论为了降低远期复发出血发生率，栓塞治疗小脑AVM伴发动脉瘤患者时应围绕动脉瘤处理制定治疗措施。
목적：탐토혈관내전새치료소뇌동정맥기형（AVM）반발동맥류적기술요점급림상효과。방법회고성분석취진우아과、진단위소뇌AVM환자142례，기중42례반발동맥류。장환자분위반발동맥류조화불반발동맥류조，채용단인소급다인소분석방법연구량조병례적성별、년령、시부반유출혈、기형단위치、대소급시부반유심정맥인류。결과42례환자공반발61개동맥류，기중위우기형단내14개，위우공혈동맥상47개。기형단내동맥류여기형단파렬출혈급반유심정맥인류밀절상관。42례환자전새치료후수방기간，미견복발출혈。결론위료강저원기복발출혈발생솔，전새치료소뇌AVM반발동맥류환자시응위요동맥류처리제정치료조시。
Objective To evaluate the clinical effect of endovascular embolization for the treatment of cerebellar arteriouvenous malformations (AVMs) associated with aneurysm, and to discuss its technical points. Methods The clinical data of 142 patients with cerebellar AVMs were retrospectively analyzed. Of the 142 patients, 42 had concomitant aneurysms. The patients were divided into concomitant aneurysm group and without aneurysm group. Using univariate and multivariate statistical models, the patient’s gender and age, the presence or absence of hemorrhage, the lesion’s location and size, and the presence or absence of deep venous drainage were analyzed. Results A total of 61 concomitant aneurysms were detected in the 42 patients, which were located within the malformation mass (n=14) or on the feeding artery (n=47). The concomitant aneurysms located in the malformation were closely related to AVM hemorrhage and the deep venous drainage. During the follow-up period after endovascular embolization, no recurrence of bleeding was observed in all the 42 patients. Conclusion In order to reduce the relapse rate of hemorrhage, the formulation of therapeutic measures should be based on the management of the concomitant aneurysm when endovascular embolization treatment is employed for AVM associated with aneurysm.