摘要
本文报告140例脑动静脉畸形（AVM)血管内栓塞治疗病人,随访4～42个月。良好:124例（88.6％）差:10例（7.1％),极差:6例（4.2％)。病变完全消失30例（21.4％)。术中血管痉挛16例,但无永久性神经功能障碍。栓塞后立即出血、水肿2例。血管内治疗能使微小型和小型AVM治愈,使中型和大型AVM体积缩小,血流速度减慢,为显微手术和放射外科提供条件。真丝线段和IBCA、NBCA是目前较理想的栓塞材料。
140 patients with brain arteriovenous malformations(AVMs) were treated by silk suture and liquid adhesive agents embolization, and were followed up with an-giography, TCD and clinically from 4 to 42 months. The result is favourable in 124 cases (88. 6%); deficit in 10 cases (7. 1%); unfavourable in 6 cases (4. 2%). The AVMs were totally obliterated in 30 cases (21. 4% ). 2 patients had hemorrhage and brain edema immediately after embolization, 16 patients had vasospasm during the operation, but no permanent neurological deficits occured,small sized AVMs can be cured by endovascular treatment,but in middle and large sized AVM,embolization can reduce the size and blood flow in it, thus provided a favorable condition for microsurgry and radiosurgery. Both silk suture and liquid adhesive agent are used satisfactorily for embolization.
