[1]蔡明俊　马廉亭　杨　铭　潘　力.硬脊膜动静脉瘘的治疗分析[J].中国临床神经外科杂志,2018,(06):392-394.[doi:10.13798/j.issn.1009-153X.2018.06.003]
　CAI Ming-jun,MA Lian-ting,YANG Ming,et al.Clinical analysis of the diagnosis and treatment of spinal dural arteriovenous fistulae[J].,2018,(06):392-394.[doi:10.13798/j.issn.1009-153X.2018.06.003]
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硬脊膜动静脉瘘的治疗分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年06期
页码:
392-394
栏目:
论著
出版日期:
2018-06-25

文章信息/Info

Title:
Clinical analysis of the diagnosis and treatment of spinal dural arteriovenous fistulae
文章编号:
1009-153X（2018）06-0392-03
作者:
蔡明俊　马廉亭　杨　铭　潘　力
作者单位：430060 武汉，湖北省中医院神经外科（蔡明俊）；430070武汉，中国人民解放军武汉总医院神经外科（马廉亭、杨　铭、潘　力）
Author(s):
CAI Ming-jun1;  MA Lian-ting2;  YANG Ming2;  PAN Li2.
1. Department of Neurosurgery, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei University of Traditional Chinese Medicine, Wuhan 430060, China; 2. Department of Neurosurgery, Wuhan General Hospital, PLA, Wuhan 430070, China
关键词:
硬脊膜动静脉瘘; 显微手术; 血管内治疗; 疗效
Keywords:
Spinal dural arteriovenous fistulae;  Microsurgery;  Endovascular embolization;  Curative effects
分类号:
R 744.1; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2018.06.003
文献标志码:
A
摘要:
目的 探讨硬脊膜动静脉瘘的治疗方法及其效果。方法 回顾性分析2015年3月到2018年3月收治的13例硬脊膜动静脉瘘的临床资料。采用显微手术治疗11例，采用血管内治疗2例。结果 术后均恢复良好，未发生并发症，均无新增神经功能缺失表现。术后随访6个月，未见硬脊膜动静脉瘘复发，脊髓功能障碍得到不同程度的改善。结论 硬脊膜动静脉瘘应尽早手术，目标是闭塞瘘口和静脉起始部；根据其血管构筑特点及瘘口部位，选择相应的治疗方法。血管内栓塞和显微手术均是安全、有效的治疗方式。
Abstract:
Objective To investigate the treatment methods and outcomes of spinal dural arteriovenous fistulae (SDAVF). Methods The clinical data of 13 patients with SDAVF, of whom 11 received microsurgery and 2 endovascular embolization from March, 2015 to March, 2018, were analyzed retrospectively. Results All the patients were successfully treated by microsurgery or endovascular embolization. All the patients were recovered well without postoperative complications or neurologic defect. The following-up about 6 months after discharge from hospital showed that SDAVF did not recur in all the patients, in whom the spinal function improved differently in degree. Conclusions SDAVF should be operated as early as possible. The goal of microsurgery or endovascular embolization is the disconnection of the postfistula intradural shunting vein from the perimedullary venous plexus. The treatment method should be selected according to the angioarchitecture features and locations of the SDAVF. Microsurgery and endovascular emblization are the safe and effective methods to treat SDAVF.

参考文献/References:

[1] Kendall BE, Logue V. Spinal epidural angiomatous malfor- mations draining into intrathecal veins [J]. Neuroradiology, 1977, 13(4): 181-189.
[2] 马廉亭，龚　杰，樊光辉，等. 脊髓静脉高压综合征的诊断 治疗策略与方法[J]. 中华神经外科杂志，2010，26（11）： 1007-1009.
[3] Amanieu C, Hermier M, Peyron N, et al. Spinal dural arte- riovenous fistula [J]. Diagn Interv Imaging, 2014, 95(9): 897-902.
[4] 秦　杰，杨　铭，潘　力，等. 最大密度投影、双容积及双 容积动态成像对硬脊膜动静脉瘘诊治的研究[J]. 中国临 床神经外科杂志，2015，20（5）：257-261.
[5] 马廉亭. SDAVF与SPAVF的诊治与鉴别[J]. 中国临床神 经外科杂志，2016，21（7）：385-393.
[6] Kiyosue H, Matsumaru Y, Niimi Y, et al. Angiographic and clinical characteristics of thoracolumbar spinal epidural and dural arteriovenous fistulas [J]. Stroke, 2017, 48(12): 3215- 3222.
[7] 马廉亭. 脊髓血管造影诊断脊髓血管疾病的进展[J]. 中国 临床神经外科杂志，2016，21（3）：129-137.
[8] Ma Y, Chen S, Peng C, et al. Clinical outcomes and prog- nostic factors in patients with spinal dural arteriovenous fistulas: a prospective cohort study in two Chinese centres [J]. BMJ Open, 2018, 8(1): e019800.

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更新日期/Last Update: 2018-06-25