急诊手术治疗脑动静脉畸形破裂出血32例子报告

目的探讨脑动静畸形破裂出血的手术和临床特征。方法回顾性总结经CT,CT血管造影(CTA),MRI,磁共振血管成像(MRA),数字减影血管造影(DSA)及手术病理确诊的32例脑动静畸形破裂出血的手术抢救和治疗效果。结果开颅行血肿清除加畸形血管切除18例。恢复工作27例。生活不能自理2例,死亡3例。结论脑动静脉畸形破裂出血急性期外科手术的正确选择和恰当处理是关键。争取在血肿清除同时切除畸形血管是首选办法。术收常规行DSA全脑血管造影术。

Objective To study operatice trertment and clinical characteristics of the cerebral arteriovenous malformations （AVM） rupture and hemorrhage, Methods Operative treatmen and its efficacy of 32 patients with AVM rupture and hemorrhage confirmed by CT, CTA, MRI, D SA, operation and pathological examination were analysed retrospectively. Results 18 cases were cleared Hematoma and resection of vascular malformations after oraniotomy,27 cases recorery,2 cases life can＇ t take of themselles. Coclusion It is very important to select operative treatment correctly and properly during acute stage of AVM rupture and hemorrhage, Evacuation of hematoma and resection of AVMare the treatment of choice for this par-triclad disease. Digenital subtraction angiography （ DSA ） should be taken routinely after operation.