脊髓血管畸形的血管内栓塞治疗

Endovascular embolization for the spinal vascular malformations

目的 :探讨血管内栓塞治疗脊髓血管畸形的适应证、疗效、并发症等。方法 :回顾性分析本院收治的资料完全的脊髓血管畸形 3 2例 ,其中行单纯血管内栓塞者 2 4例。以Aminoff Logue量表对患者双下肢及小便功能障碍程度行定量评价。结果 :栓塞后多数病例临床症状明显缓解。平均随访 2 7月 ,单纯栓塞患者双下肢功能障碍评分从治疗前的3 .5± 1.2 (均值±标准差 )降为 2 .5± 1.3 (P <0 .0 5 ) ,小便功能障碍评分从 1.7± 0 .9降至 1.1± 0 .5 (P <0 .0 5 )。 1例单纯栓塞患者治疗后症状复发 ,予再次栓塞。结论 :脊髓血管畸形的治疗方案应取决于病变的解剖部位和血管造影表现。血管内栓塞治疗至少能在短期内改善症状 。

Objective:To evaluate the curative effect,indications and complications of endovascular embolotherapy for the spinal vascular malformations(SVM).Methods:32 patients with different types of SVM were retrospectively analyzed.24 of 32 cases received endovascualr embolotherapy alone.Gait and micturition disability were graded by Aminoff Logue scale.Results:The symptoms were obviously improved in most patients following embolization.The mean follow up period was 27 months.The mean score of gait and micturition disability decreased from 3.5±1.2 to 2.5±1.3( P <0.05),and from 1.7±0.9 to 1.1±0.5( P <0.05),respectively.Recurrence of symptoms was found in one case following embolization,who was embolized again.Conclusion:The treatment planning of SVM is up to its anatomic location and appearances on angiogram.Endovascular embolotherapy can at least produce short term improvement and thus improve patient's quality of life.