脑动静脉畸形的临床治疗

发布时间：2018-03-15 01:04

本文选题：脑动静脉畸形　切入点：显微手术　出处：《临床医药文献电子杂志》2016年36期 　论文类型：期刊论文

【摘要】：目的探析脑动静脉畸形的临床治疗方法及疗效。方法选取2015年2月~2016年3月收治的脑动静脉畸形患者121例的临床资料。其中进行显微手术治疗69例,血管内治疗52例。结果在69例手术治疗中,完全切除病灶59例,小部分残留10例;其中进行伽玛刀治疗6例;手术后随访持续4个月~2年,使用GOS评分标准:恢复良好57例,中残7例,重残2例,植物人2例,死亡1例。总共有52例栓塞治疗,其中一次完全栓塞19例,多次完全栓塞24例;有小部分残留9例,均进行伽玛刀治疗;手术后随访持续4个月~2年,使用GOS评分标准:恢复良好49例,中残2例,植物生存1例。结论显微手术在治疗脑动静脉畸形中很常见,至于血管内栓塞,可用于单独的临床治疗,也可作为辅助显微手术进行联合治疗,当遇到体积较大、位置或结构较复杂的脑动静脉畸形常会实施联合治疗方案。
[Abstract]:Objective to investigate the clinical treatment and curative effect of cerebral arteriovenous malformation. Methods A total of 121 patients with cerebral arteriovenous malformation were treated from February 2015 to March 2016. Results among 69 cases, 59 cases had complete resection of lesions, 10 cases had small residual lesions, 6 cases were treated with gamma knife, and followed up for 4 months to 2 years after operation, 57 cases had good recovery, and 57 cases had good recovery. There were 7 cases of middle disability, 2 cases of severe disability, 2 cases of vegetative disease and 1 case of death. There were 52 cases of embolization, 19 cases of one complete embolization, 24 cases of multiple complete embolization, 9 cases of minor residual, all of them were treated with gamma knife. Follow-up for 4 months to 2 years after operation was followed up for 4 months to 2 years. GOS score was used in 49 cases with good recovery, 2 cases with moderate disability and 1 case with vegetative survival. Conclusion Microsurgery is very common in the treatment of cerebral arteriovenous malformation, and endovascular embolization. It can be used for clinical treatment alone or as a combined therapy of assisted microsurgery. When encountered with large volume and complicated position or structure of cerebral arteriovenous malformation the combined therapy is often carried out.
【作者单位】：遂宁市中心医院河东分部神经中心一病区;
【分类号】：R651.12

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