供血动脉逐步夹闭法在脑动静脉畸形显微外科切除术中的应用

Application on Method of Stepwise Feeding Artery Clipping During the Microsurgery for the Treatment of Cerebral Arteriovenous Malformation

目的:评价显微外科手术治疗脑动静脉畸形的方法与手术预后的关系。方法:随访于2006年9月～2012年11月期间我科收治126例术中采用显微镜下供血动脉逐步夹闭法治疗的脑AVM患者并采用GOS评分进行预后评价,来探讨供血动脉逐步夹闭法与AVM患者预后的关系。结果:术中采用供血动脉逐步夹闭法,显微外科手术治疗126例AVM患者中完全切除病灶123例,未完全切除者3例,术后行伽刀辅助治疗。预后评价按Glasgow预后评分(GOS):恢复良好者123例,中度残疾者2例,严重残疾者1例。结论:术中采用供血动脉逐步夹闭法是一种改善AVM手术预后的主要方法。

Objective ：To evaluate the relationship between operative methods and outcome in microsurgically removed cerebral arteriovenous malformations. Methods： Operative methods along with clinical prognosis in 126 cases of cerebral arteriovenous malformations were retrospectively analyzed whom received microsurgical treatment using stepwise feeding artery clipping method intraoperatively between September 2012 to November 2012. Results： Total resection was achieved in 123 cases and partial removal in 3 Cases whom received Gamma knife treatment postopera- tively. Good recovery were achieved in 12＇3 cases, moderate morbidity in 3 cases, severe morbidity in 1 case evaluated by GI ative tasgow Outcome Scale（GOS）. There were no patient leave in vegetative state or death . Conclusion： Intraoperadaptation of Stepwise feeding artery clipping method during microsurgical removal of cerebral AVMs is related to a good prognosis.