摘要
为观察经血管内注入栓塞材料治疗脑动静脉畸形(AVMS)的疗效。65例脑AVMS用真丝线段栓塞,8例用α-氰基丙烯酸正丁酯(NBCA)栓塞,通过微导管注入脑AVMs内。结果:完全栓塞131(1%),栓塞病变90%以上21例(29%),70%~90%26例(35%),50%~70%8例(11%),栓塞2次。7例(10%),症状改善者70例(96%),神经功能缺失者4例(5%),66例治疗后经颅多普勒超声(TCD)测定平均流速明显减少,栓塞前109.527±29.61至栓塞后75.76±28.362,搏动指数增加,栓塞10.542±0.184至栓塞后0.738±0.19。结果提示:使用真丝线段或NBCA栓塞治疗脑AVMS效果较好,部分病变如能结合手术切除或伽马刀治疗可提高治愈率。
To study the Intravascular injecting embolizing material for treatment of brain arteriovenous malformation (AVMs), pure silk segments were injectedg into AVMs through microcatheter, in 65 cases, and NBCA was injected in & cases. Complete embolization accursed 13 cases (18% ); more than 90% embolization in 21 cases (29% ) and 70% -90% embolization in 7 cases (10% ). Symptoms were improved in 70 cases (96% ) and neurolo-gical function were deficint in 4 cases (5% ). In 66 cases TCD examination showed that the mean blood velocity reduced greatly. from 109. 527±29. 61 (before treatment) to 75. 76±28. 362 (after treatment ). Pulse index incerased. Embolization using silk segment or NBCA is a good method for AVMs, it may be better to combine with surgrey in some cases.
出处
《上海医学》
CAS
CSCD
北大核心
1997年第5期258-259,共2页
Shanghai Medical Journal
关键词
脑动静脉畸形
栓塞治疗
外科手术
Brain arteriovenous malformaation Endovascular therpy Embolization