显微手术治疗脑动静脉畸形破裂出血94例

Microsurgical Treatments of 94 Cases of Cerebral Arteriovenous Malformation Hemorrhage

目的：探讨脑动静脉畸形（AVM）出血后显微手术治疗的效果。方法：回顾性分析2007年1月至2011年10月收治的94例AVM破裂出血后经显微手术治疗患者的临床资料。结果：术后随访1~36个月,随访患者81例,其中恢复良好者63例;轻残10例;重残6例;植物生存状态2例。58例患者术后复查DSA或MRA提示畸形血管团全部切除。结论：显微手术是治疗脑血管畸形破裂出血的首选方法。

Aim： To investigate the microsurgical therapeutic efficacy of cerebral arteriovenous malformation hemorrhage.Methods： 94 cases of cerebral arteriovenous malformation hemorrhage treated by microsurgery in our hospital from January,2007 to October,2011 were analyzed retrospectively.Results： After operation 81 patients were followed up for 1 to 36 months： good recovery 63 cases,mild disability 10 cases,severe disability 6 cases,vegetative state 2 cases.58 cases of postoperative patients who underwent the review of DSA or MRA revealed the total excision of cerebral arteriovenous malformation（AVM）.Conclusion： Microsurgical operation is a preferred choice to the cerebral AVMs combinated hemorrhage.