脑室系统血管畸形的诊断与治疗

The Diagnosis and Treatment of Ventricular System Vascular Malformations

为了增强对脑室系统的血管畸形的认识,回顾性总结24例脑室系统的血管畸形的基本临床资料。结果显示,除1例静脉畸形外,其余23例均接受手术,21例全切,2例部分切除,病理证实海绵状血管瘤13例,AVM10例,其中死亡1例。提示脑室系统血管畸形发病率低,出血及脑积水多见,手术切除是海绵状血管瘤和AVM的最佳选择,而静脉畸形应予保留。

To recognize ventricular system vascular malformations in detail, we did a retrospective review of the clinical information of 24 cases of ventricular system vascular malformations. Except the case of venous malformation, the other 23 cases were all resorted to surgery and the lesions were total reseeted in 21 cases and partial resected in two cases. The le sions were confirmed to be 13 cavernomas and 10 AVMs by pathology. Only one died. The incidence of ventricular system vascular malformation is very low, while the incidence of bleeding and hydrocephalus is very high. Surgical removal of the lesion is the best choice for cavernoma and AVM. However,venous malformation should be preserved.