脑血管疾病的造影检查和栓塞治疗(附10例报告)

Angiography and embolization treatment of Cerebral Vasculer diseases(report of 10 cases)

目的对10例脑血管疾病的血管造影与治疗进行分析。材料与方法 10例经 CT 筛选后,拟诊为脑血管疾病患者,均采用股动脉插管行全脑血管造影,动脉瘤4例,动静脉畸形1例,动静脉瘘4例,海绵窦瘘1例。其中6例采用栓塞治疗;1例行手术切除;余3例未作治疗。结果选择性脑血管造影的病变显示率达到100%,栓塞病例中,4例达到满意效果,2例未成功。结论血管造影是诊断脑血管疾病的可靠依据,栓塞治疗是一种创伤性小,并发症少的方法,而且可反复多次插管栓塞,治疗效果好。

Purpose To analyse the angiographic manifestations and embolization treatment in 10 cases of cerebral vascular diseases.Materials and methods 10 cases were examined by CT and diagnosed as cere- bral vascular disease.Angiogram was taken by seldinger technique.Among the 10 cases,there were 4 cases of cerebral anemysm,1 case of AVM,4 cases of arteriovenous fistula,1 case of carotid cavernous fistula(ccf).One case received surgical resection while 6 cases underwent embelization.the other 3 cases were not treated.Results The rate of successful angiography and diagnosis was 100%.For the 6 cases receiving embolization treatment, satisfactory sesults were achieved in 4 and not success in 2 cases.Conclusion Selective angiography is the reli- able method for diagnosing cerebral vascular malformations.Embolization treatment is the method of choice with less invasiveness and fewer complications,and may be repeated if needed.