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向脊髓引流的硬脑膜动静脉瘘诊治体会

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摘要 目的探讨向脊髓表面引流的硬脑膜动静脉瘘（DAVF）的临床特点及治疗。方法回顾性分析2009年2月。2012年10月诊治的5例向脊髓引流DAVF患者的临床资料。4例单纯行栓塞治疗，1例行栓塞后手术切除。结果术后DSA示5例患者的瘘口均完全消失，达到解剖治愈。4例随访6个月-2年，肢体肌力及感觉均有一定恢复，MRI示脊髓表面迂曲血管流空影消失，DsA示瘘口消失、无复发。结论向脊髓引流的DAVF患者脊髓血管造影常显示正常，应注意行脑血管造影，避免漏诊、误诊，治疗主要以血管内栓寨为丰。
作者 刘志红 孙友霞 陈友明 张鸿祺
机构地区 首都医科大学宣武医院神经外科 湖北武穴市第一人民医院 武穴市第一人民医院神经外科
出处 《中国临床神经外科杂志》 2014年第6期358-360,共3页 Chinese Journal of Clinical Neurosurgery
关键词 硬脑膜动静脉瘘 脊髓静脉引流 血管内栓塞
分类号 R743.4 [医药卫生—神经病学与精神病学] R815.2 [医药卫生—放射医学]
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参考文献9

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二级参考文献18

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中国临床神经外科杂志
2014年 第6期

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