[1]安学锋 潘 力 杨 铭等.脊髓髓周动静脉瘘的诊治分析:附3例报道并文献复习[J].中国临床神经外科杂志,2021,26(09):657-661.[doi:10.13798/j.issn.1009-153X.2021.09.001]
 AN Xue-feng,PAN Li,YANG Ming,et al.Diagnosis and treatment of spinal perimedullary arteriovenous fistulas: report of 3 cases and review of literature[J].,2021,26(09):657-661.[doi:10.13798/j.issn.1009-153X.2021.09.001]
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脊髓髓周动静脉瘘的诊治分析:附3例报道并文献复习()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年09期
页码:
657-661
栏目:
论著
出版日期:
2021-09-25

文章信息/Info

Title:
Diagnosis and treatment of spinal perimedullary arteriovenous fistulas: report of 3 cases and review of literature
文章编号:
1009-153X(2021)09-0657-05
作者:
安学锋 潘 力 杨 铭等
430070 武汉,中国人民解放军中部战区总医院神经外科/中国人民解放军神经外科研究所/国家级重点学科神经外科(安学锋、潘 力、杨 铭、姚国杰、秦 杰、陈大瑜、赵曰圆、黄麒霖、马廉亭)
Author(s):
AN Xue-feng PAN Li YANG Ming YAO Guo-jie QIN Jie CHEN Da-yu ZHAO Yue-yuan HUANG Qi-lin MA Lian-ting.
Department of Neurosurgery, General Hospital, Central Theater Command, PLA, Wuhan 430070, China
关键词:
脊髓髓周动静脉瘘选择性脊髓动脉造影显微手术介入栓塞
Keywords:
Spinal perimedullary arteriovenous fistula Selective spinal arteriography Microsurgery Interventional embolization
分类号:
R 743; R 815.2
DOI:
10.13798/j.issn.1009-153X.2021.09.001
文献标志码:
A
摘要:
目的 总结脊髓髓周动静脉瘘(SPAVF)的诊断和治疗经验。方法 回顾性分析我院收治的3例SPAVF的临床资料,对其诊断、治疗方案及结果进行分析。结果 3例均行选择性脊髓动脉造影确诊,1例行显微手术灼闭瘘口,2例行血管内栓塞治疗,均成功闭塞瘘口,术后病人下肢肌力恢复至5级,感觉及大小便功能正常。结论 选择性脊髓动脉造影是诊断SPAVF的金标准,手术灼闭或栓塞瘘口均是治疗SPAVF的有效方法,介入栓塞治疗创伤小,可首选。
Abstract:
Objective To summarize the experience in diagnosis and treatment for the patients with spinal perimedullary arteriovenous fistula (SPAVF). Methods The clinical data of 3 patients with SPAVF were analyzed retrospectively. The diagnosis, treatment and outcomes were analyzed. Results All the 3 patients received the selective spinal arteriography to confirm the diagnosis. One patient underwent microsurgery to cauterize the fistula, and 2 underwent intravascular embolization. The fistulas were successfully occluded in all the patients. After the operation, the muscle strength of the lower limbs returned to grade 5 and the sensory and urine functions were normal in all the patients. Conclusions Selective spinal arteriography is the gold standard for the diagnosis of SPAVF. Surgical cauterization or embolization of fistulas are both good methods for the treatment of patients with SPAVF. Interventional embolization is the first choice because of its mild surgical injury.

参考文献/References:

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[6] 夏 星,彭 翔,吴吉元,等. 脊髓血管畸形的诊治[J]. 中国微侵袭神经外科杂志,2010,15(7):312.
[7] Mont’Alverne F, Musacchio M, Tolentino V, et al. Giantspinal perimedullary fistula in hereditary haemorrhagic telangiectasia: diagnosis, endovascular treatment and review of the literature [J]. Neuroradiology, 2003, 45(11):830-836.
[8] Ricolfi F, Gobin PY, Aymard A, et al. Giant perimedullary arteriovenous fistulas of the spine: clinical and radiologic features and endovascular treatment [J]. AJNR Am J Neuro-radiol, 1997, 18(4): 677-687.
[9] Sasamori T, Hida K, Yano S, et al. Cervical perimedullary arteriovenous fistula in an infant presenting with subarach-noid hemorrhage--case report [J]. Neurol Med Chir (Tokyo),2008, 48(9): 409-413.

备注/Memo

备注/Memo:
通讯作者:潘 力,E-mail:plainfat@163.com
更新日期/Last Update: 1900-01-01