[1]赵　平　汪　雷　马金阳.Onyx胶栓塞颅内动静脉畸形的临床分析[J].中国临床神经外科杂志,2015,(08):476-477480.[doi:10.13798/j.issn.1009-153X.2015.08.010]
　ZHAO Ping,WANG Lei,MA Jin-yang..Endovascular embolization of cerebral arteriovenous malformations with Onyx glue[J].,2015,(08):476-477480.[doi:10.13798/j.issn.1009-153X.2015.08.010]
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Onyx胶栓塞颅内动静脉畸形的临床分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年08期
页码:
476-477480
栏目:
论著
出版日期:
2015-08-25

文章信息/Info

Title:
Endovascular embolization of cerebral arteriovenous malformations with Onyx glue
文章编号:
1009-153X（2015）08-0476-02
作者:
赵　平　汪　雷　马金阳
443003 湖北，宜昌市中心人民医院神经外科（赵　平、汪雷、马金阳）
Author(s):
ZHAO Ping;  WANG Lei;  MA Jin-yang.
Department of Neurosurgery, Central Hospital of Yichang City, Yichang 443003, China
关键词:
颅内动静脉畸形; 血管内栓塞; Onyx胶; 效果
Keywords:
Intracranial arteriovenous malformations;  Endovascular embolization;  Onyx glue
分类号:
R 744.1; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2015.08.010
文献标志码:
A
摘要:
目的 探讨Onyx胶栓塞颅内动静脉畸形的临床效果。方法 回顾性分析2008年1月至2014年12月采用Onyx胶栓塞治疗的120例颅内动静脉畸形患者的临床资料。结果 栓塞范围≥80% 56例（畸形团完全闭塞14例），<80% 64例。术中少量出血2例，术后无神经功能缺损。术后出血4例，其中2例死亡。术后一过性神经功能缺损2例。118例随访2~48个月，平均（25.1±5.6）个月，患者头痛、头晕及癫痫等均得到不同程度改善；其中45例DSA随访示，完全闭塞26例，与术前比较无变化19例。结论 Onyx胶血管内栓塞治疗脑动静脉畸形具有良好的效果，但是应掌握其适应症和使用方法。
Abstract:
Objective To explore the clinical effect of endovascular embolization with Onyx glue on intracranial arteriovenous malformations (AVMs). Methods The clinical data of 120 patients with intracranial AVMs, which were endovascularly embolized with Onyx glue from January, 2008 to December, 2014 in our hospital, were analyzed retrospectively. Results The AVMs were embolized over 80% in 56 patients (46.7%) including 14 patients (25.0%, 14/56) receiving complete embolization of AVMs and AVMs were embolized under 80% in 64 patients (53.3%). The intraoperative bleeding occurred in 12 patients without postoperative neurological deficits. The postoperative bleeding occurred in 4 patients, of whom, 2 died and 2 survived. There were temporal neurological deficits after the operation in 2 patients. The symptoms including headache, dizzy, epilepsy and so on were differently improved in degree in 118 patients who were followed up from 2 to 48 months [mean, (25.1±5.6) months]. Of 45 patients receiving DSA examination during the following up, 26 had complete occlusion of AVMs and 19 had AVMs about the same before the operation. Conclusions The curative effect of endovascular embolization with Onyx glue on the intracranial AVMs is good, but its indications and method to use it must be mastered well.

参考文献/References:

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更新日期/Last Update: 2016-08-25