显微外科手术治疗脑动静脉畸形27例

Microsurgical treatment of 27 cases with cerebral arteriovenous malformations

目的探讨显微外科手术治疗脑动静脉畸形的临床效果。方法回顾性分析自2006年至2012年间在本院住院手术治疗的27例脑动静脉畸形患者,所有患者均行显微外科手术治疗,观察治疗效果。结果 27例患者中有13例治愈,12例好转,2例重残,总体有效率为92.60%。结论对于脑动静脉畸形患者,术前应充分评价病变区域的血管形态、位置和血流动力学,制定优化外科手术治疗方案,以取得满意的疗效。

Objective To investigate the clinical effects on cerebral arteriovenous malformation microsurgery by microsurgery. Methods Twenty-seven patients with arteriovenous malformation were included in the study from Oct 2006 to Oct 2012. All patients were performed with microsurgery and the surgical effect was analyzed retrospectively. Results Of 27 patients, 13 cases were cured, 12 cases were improved, 2 cases became disabled. Conclusion For patients with cerebral arteriovenous malformation, preoperative vascular morphology, area, location of the lesion and hemodynamics should be fully evaluated in order to obtain satisfactory treatment.