[1]侯海东,罗国强,赵军,等.应用复合手术平台治疗硬脊膜动静脉瘘[J].中国临床神经外科杂志,2022,27(01):19-21.[doi:10.13798/j.issn.1009-153X.2022.01.007]
　HOU Hai-dong,LUO Guo-qiang,ZHAO Jun,et al.Clinical efficacy of hybrid operation for patients with spinal dural arteriovenous fistula[J].,2022,27(01):19-21.[doi:10.13798/j.issn.1009-153X.2022.01.007]
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应用复合手术平台治疗硬脊膜动静脉瘘()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年01期
页码:
19-21
栏目:
论著
出版日期:
2022-01-15

文章信息/Info

Title:
Clinical efficacy of hybrid operation for patients with spinal dural arteriovenous fistula
文章编号:
1009-153X（2022）01-0019-03
作者:
侯海东;  罗国强;  赵军;  刘季平
710038 西安，空军军医大学第二附属医院（唐都医院）神经外科（侯海东、罗国强）；014030 内蒙古包头，内蒙古包头国药北方医院神经外科（侯海东、赵军、刘季平）
Author(s):
HOU Hai-dong1; 2;  LUO Guo-qiang1;  ZHAO Jun2;  LIU Ji-ping2.
1. Department of Neurosurgery, The Second Affiliated Hospital of Air Force Medical University (Tangdu Hospital), PLA, Xi'an 710038, China; 2. Department of Neurosurgery, Sinopharm Nnrthern Hospital, Baotou 014000, China
关键词:
硬脊膜动静脉瘘; 复合手术; 疗效
Keywords:
Spinal dural arteriovenous fistulas;  Hybrid operation;  Clinical efficacy
分类号:
R 744.1; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2022.01.007
文献标志码:
A
摘要:
目的探讨复合手术平台在硬脊膜动静脉瘘（SDAVF）治疗中的应用价值。方法回顾性分析2018年1月至2019年10月复合手术治疗的18例SDAVF的临床资料。结果18例手术时间3.1~4.6 h，平均（3.5±0.8）h。术后即刻造影未发现瘘口及异常引流静脉。无手术死亡病例，未发生与造影相关并发症。术后3个月复查脊髓造影均无复发，18例症状均明显改善；术后1年，造影复查未发现复发。结论利用复合手术平台治疗SDAVF，定位准确，手术损伤小，复发率低，疗效好。
Abstract:
Objective To summarize the clinical experience in treating the patients with spinal dural arteriovenous fistula (SDAVF) in a hybrid operating room. Methods The clinical data of 18 patients with SDAVF who received hybrid operaion from January 2018 to October 2019 were analyzed retrospectively. Results The operation time of 18 patients ranged from 3.1 hours to 5.6 hours, with an average of (3.5±0.8) hours. No fistulas and abnormal draining veins were found on the angiography immediately after the operation. There were no surgical deaths and no complications related to angiography. There was no recurrence 3 months after the operation, and the symptoms of 18 patients were significantly improved. DSA showed no recurrence 1 year after the operation. Conclusion The hybrid operation is a good treatment method for the patients with SDAVF, which has many advantages such as accurate positioning, light surgical injury, low recurrence rate, and good curative effect.

参考文献/References:

[1]Hetts SW, Moftakhar P, English JD, et al. Spinal dural arteriovenous fistulas and intrathecal venous drainage: correlation between digital subtractionangiography, magnetic resonance imaging and clinical findings[J]. J Neurosurg Spine, 2012, 16(5): 433-440.
[2]Jeng Y, Chen DY, Hsu H, et al. Spinal dural arteriovenous fistula: imaging features and its mimics[J]. Korean J Radiol, 2015, 16(5): 1119.
[3]Thron A. Spinal dural arteriovenous fistula[J]. Radiologe,2001, 41(11): 955-960.
[4]Maimon S, Luckman Y, Strauss I. Spinal dural arteriovenous fistula: a review[J]. Adv Tech Sech Stand Neurosurg, 2016,43(43): 111-137.
[5]Kendall BE, Logue V. Spinal epidural angiomatous malformations draining into intrathecal veins[J]. Neuroradiology,1977, 13(4): 181-189.
[6]齐向前，韩凯伟，许政，等. 硬脊膜动静脉瘘28例误诊及预后分析[J]. 中华神经外科疾病研究杂志，2015, 14（5）：421-424.
[7]王建生，张鸿祺，王志潮，等. 糖皮质激素治疗对脊髓血管病并发静脉高压性脊髓病的危害与处理[J]. 中国脑血管病杂志，2013, 10（8）：393-400.
[8]Fugate JE, Lanzino G, Rabinstein AA. Clinical presentation and prognostic factors of spinal dural arteriovenous fistulas:an overview[J]. Neurosurg Focus, 2012, 32(5): E17.
[9]Lee J, Lim YM, Suh DC, et al. Clinical presentation, imaging findings, and prognosis of spinal dural arteriovenous fistula [J]. J Clin Neurosci, 2016, 26: 105-109.

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备注/Memo

备注/Memo:
基金项目：内蒙古包头市医药卫生科技计划项目（wjwkj2020043）
通讯作者：罗国强，E-mail：56363146@qq.com
更新日期/Last Update: 2022-01-18