24例脊髓动静脉畸形显微手术治疗效果分析
洪家康,王建祯
摘要(Abstract):
目的探讨显微手术治疗脊髓动静脉畸形的临床效果。方法回顾性分析24例脊髓动静脉畸形患者的资料。所有患者术前均行脊髓血管造影明确诊断,并应用McCorMick分级评估手术前、后患者脊髓功能的改变。结果术后2周,24例患者中McCorMick分级改善15例,无变化7例,加重2例。术后随访6~30个月,平均18.4个月,24例患者中McCorMick分级改善20例,无变化4例,总体有效率为83.3%。结论显微手术治疗脊髓动静脉畸形可取得较良好疗效。
关键词(KeyWords): 脊髓动静脉畸形;显微手术治疗;McCorMick分级
基金项目(Foundation):
作者(Author): 洪家康,王建祯
参考文献(References):
- [1]Bostrom A,Krings T,Hans FJ,et al.Spinal glomus-type arteriovenous malformations:microsurgical treatment in 20cases[J].Neurosurg Spine,2009,10(5):423-429.
- [2]Spetzler RF,Detwiler PW,Riina HA,et al.Modified classification of spinal cord vascular lesions[J].Neurosurg,2002,96(2):145-156.
- [3]Tani S,Ikeuchi S,Hata Y,et al.Vascular orientation by intra-arterial dye injection during spinal arteriovenous malformation surgery[J].Neurosurgery,2001,48(1):240-242.
- [4]Schimidek HH.Operative neurosurgical techniques,indications,methods,and results[M].America:Saunders,2000:1 864-1 872.
- [5]邓钢,滕皋军,何仕诚,等.脊髓血管畸形的MRI与DSA对照研究[J].中国医学影像技术,2002,18(8):759-762.
- [6]王忠诚,张玉琪.王忠诚神经外科学[M].武汉:湖北科学技术出版社,2015:970-976.
- [7]Velat GJ,Chang SW,Abla AA,et al.Microsurgical management of glomus spinal arteriovenous malformations:pial resection technique:Clinical article[J].Neurosurg Spine,2012,16(6):523-531.
- [8]解利平,王宏勤.显微外科手术和血管内栓塞治疗脑动静脉畸形的Meta分析[J].中华临床医师杂志:电子版,2013,7(1):220-224.
- [9]何川,凌峰,张鸿祺.脊髓动静脉畸形治疗方法及疗效研究[J].中国脑血管病杂志,2004,12(1):537-539.
- [10]Acewicz A,Richter P,Tykocki T,et al.Endovascular treatment of cervical intramedullary arteriovenous malformation[J].Neurol Neurochir Pol,2014,48(3):223-227.