[1]杨振兴　孙阳阳　冯　进等.海绵窦区硬脑膜动静脉瘘介入治疗的疗效分析[J].中国临床神经外科杂志,2021,26(10):769-771.[doi:10.13798/j.issn.1009-153X.2021.10.008]
　YANG Zhen-xing,SUN Yang-yang,FENG jin,et al.Clinical efficacy of interventional treatment for patients with cavernous sinus dural arteriovenous fistula[J].,2021,26(10):769-771.[doi:10.13798/j.issn.1009-153X.2021.10.008]
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海绵窦区硬脑膜动静脉瘘介入治疗的疗效分析()
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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10期
页码:
769-771
栏目:
论著
出版日期:
2021-10-25

文章信息/Info

Title:
Clinical efficacy of interventional treatment for patients with cavernous sinus dural arteriovenous fistula
文章编号:
1009-153X（2021）10-0769-03
作者:
杨振兴　孙阳阳　冯　进等
作者单位：750004 银川，宁夏医科大学总院神经外科（杨振兴、孙阳阳、冯　进、万　定、黄德俊、李宗正）
Author(s):
YANG Zhen-xing;  SUN Yang-yang;  FENG jin;  et al
Department of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuang, 750004, China
关键词:
海绵窦区硬脑膜动静脉瘘; 介入治疗; 动脉途径; 静脉途径; 动静脉联合途径; 疗效
Keywords:
Cavernous sinus dural arteriovenous fistula;  Embolization;  Venous approach;  Arterial approach;  Arteriovenous
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2021.10.008
文献标志码:
R 743; R 815.2
摘要:
目的 探讨弹簧圈+Onyx-18胶栓塞治疗海绵窦区硬脑膜动静脉瘘（CS-DAVF）的疗效。方法 回顾性分析2012年1月至2020年1月介入治疗的42例CS-DAVF的临床资料。先采用弹簧圈栓塞以降低血流速度，再用Onyx-18胶栓塞；经静脉入路32例，经动脉入路5例，动静脉联合入路5例。结果 术后即刻DSA显示瘘口均消失，完全栓塞31例（73.8%），次全栓塞11例（26.2%）。无手术死亡病例。术后6~12个月，42例DSA随访，1例复发；临床症状消失34例（81.0%），3例视力无明显改善，5例术后伴有外展神经麻痹。结论 采用弹簧圈联合Onyx-18胶介入栓塞治疗CS-DAVF的效果良好。可根据病人的具体情况选择静脉途经、动脉途径或动静脉联合途径。
Abstract:
Objective To investigate the clinical efficacy of endovascular embolization using coil combined with Onyx-18 glue for the patients with cavernous sinus dural arteriovenous fistula (CS-DAVF). Methods The clinical data of 42 patients with CS-DAVF who received endovascular embolization from January 2012 to January 2020 were analyzed retrospectively. First, the coils was used to reduce the blood flow velocity, and then the Onyx-18 glue was used to embolize the fistulas. Of 42 patients, 32 patients were embolized via venous approach, 5 via arterial approach, and 5 via arteriovenous approach. Results Immediately after the operation, DSA showed that 31 patients (73.8%) were completely embolized, and 11 (26.2%) subtotally. There were no surgical death. The follow-up (6~12 months) results showed that the fistula reccurred in 1 patient; clinical symptoms were disappeared in 34 patients, no obvious improvement in visual acuity occurred in 3, and abductor nerve palsy in 5. Conclusions Endovascular embolization using coil combined with Onyx-18 glue is an effective treatment for the patients with CS-DAVF. The venous approach, arterial approach or arteriovenous approach can be selected according to the patients’ specific conditions.

参考文献/References:

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备注/Memo:
通讯作者：李宗正，E-mail：nxlizongzh@163.com
更新日期/Last Update: 1900-01-01