儿童脑动静脉畸形的临床特点与治疗

Clinical characteristics and treatment of cerebral arteriovenous malformations in children

目的总结分析儿童脑动静脉畸形(AVMs)的临床特点及治疗效果。方法回顾性分析34例儿童脑动静脉畸形患者的临床资料。结果本组病例平均年龄10.4岁,其中21例表现脑出血;按Spetzler-Martin分级,Ⅰ级8例,Ⅱ级13例,Ⅲ级9例,Ⅳ级4例;随访30例中,疗效优22例,良5例,差1例,死亡2例。结论儿童脑AVM最常见的临床表现是脑出血,综合治疗能获得良好临床效果。

Objective To summarize and analyze the clinical characteristics and curative effects of cerebral arteriovenous malformations （AVMs） in children. Methods The clinical data of 34 children with cerebral AVMs were analyzed retrospectively. Results The patients with AVMs were 10.4 years old averagely and in whom 21 patients presented with spontaneous cerebral hemorrhage. According to the Spetzler-Martin grading, there were 8 patients with AVMs of grade I , 13 grade I1 , 9 grade III and 4 grade IV. The effect was excellent in 22 patients, good in 5 and bad in 1 and 2 died. Conclusions Hemorrhage is the most frequent clinical presentation in children with cerebral AVMs. A muhimedia approach to treating cerebral AVMs in children can improve curative effect.