脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理

Causes and treatment of intracranial hemorrhage after embolization therapy of cerebral arteriovenous malformation

目的探讨脑动静脉畸形(AVM)栓塞治疗术并发颅内出血的原因及处理。方法选取我院收治的21例脑AVM栓塞治疗术并发颅内出血患者,对其实施开颅血肿清除术或钻孔引流术治疗。分析患者的治疗效果。结果21例患者经开颅血肿清除术或钻孔引流术治疗,9例优,11例良,1例差,优良率为95.24%(20/21)。术后1周,患者的hs-CRP、IL-6、TNF-α水平均明显降低(P<0.05)。结论脑AVM栓塞治疗术并发颅内出血患者实施开颅血肿清除术或钻孔引流术治疗,可有效改善患者病情。

Objective To investigate the causes and treatment of intracranial hemorrhage after embolization therapy of cerebral arteriovenous malformation(AVM).Methods A total of 21 patients with intracranial hemorrhage after embolization therapy of cerebral AVM admitted in our hospital were selected and treated with removal of craniotomy hematoma or drilling and drainage treatment.The treatment effects of patients were analyzed.Results Twenty-one patients were treated with removal of craniotomy hematoma or drilling and drainage treatment,9 cases were excellent,11 cases were good,1 case was poor,and the excellent and good rate was 95.24%(20/21).One week after operation,the levels of hs-CRP,IL-6 and TNF-αsignificantly decreased(P<0.05).Conclusion Removal of craniotomy hematoma or drilling and drainage for intracranial hemorrhage after embolization therapy of cerebral AVM can effectively improve the patients’condition.