摘要
目的：对２４例硬脊膜动静脉瘘（ＳＤＡＶＦ）的影像学特点及治疗进行讨论。材料与方法：１９８３年１月至１９９６年１月共收治硬脊膜动静脉瘘２４例，全部患者均表现为进行性脊髓损害。除１例（术中证实）外，均经选择性脊髓血管造影证实。９例病人治疗前后行ＭＲＩ检查。在２４例病人中，单纯栓塞５例，单纯手术１４例，栓塞＋手术４例，未治１例。结果：２３例治疗者中，痊愈７例，改善１２例，无变化３例，加重１例。结论：ＳＤＡＶＦ是脊髓血管畸形中的一个类型，影像学特点为硬脊膜动脉与脊髓表面静脉相通，引流静脉几乎贯穿脊髓全长。治疗的关键是栓塞或夹闭瘘口。
Purpose:Tostudytheradiographicfeaturesandtreatmentofspinalduralarteriove-nousfistulae(SDAVF).Materialsandmethods:Twenty-fourpatientswerehospitalizedforspinalduralarteriovenousfistulaeinourdepartmentfromJanuary,1983toJanuary,1996.Alpatientspresentedwithaslowlyprogressiveimpairmentofspinalcord.Thediagnosiswasconfirmedinalbut1case(diagnosiswasmadeduringoperation)byselectivespinalangiography.NinepatientsweresubmitedtospinalMRIbeforeandaftertreatment.Amongthe24patients,embolizationwasdonein5cases,surgeryin14cases,embolization+surgeryin4casesandnotreatmentin1case.Results:Aftertreatment,completerecoveryocuredin7cases,improvementin12cases,nochangein3cas-es,getingworsein1case.Conclusion:SDAVFisonetypeofspinalarteriovenousmalformation.Theradiographicfeaturesare:spinalduralarteryshuntedwiththesuperficialveinsofspinalcord.Thereisnoextrathecaldrainage.Thekeypointoftreatmentistoclosethefistulaitselfbyemboliza-tionorsurgery.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第9期603-606,共4页
Chinese Journal of Radiology
基金
国家"八五"攻关项目
