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血管内栓塞与手术切除联合治疗巨大脑动静脉畸形(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1999年第2期
页码:
97-99
栏目:
论著
出版日期:
1999-03-01

文章信息/Info

Title:
Combination of surgical resection with in travascular embolization for treatment of giant cerebral arteriovenous malformations
作者:
周 懿　高国栋　赵振伟　秦怀州
第四军医大学唐都医院神经外科　西安 710038
Author(s):
Zhou Yi;  Gao Guodong ;  Zhao Zhenwei;  Qin Huaizhou
Department of Neurosurgery, Tangdu hospital, Fourth Military Medical Un iversity, Xi′an 710038
关键词:
脑动静脉畸形;  手术切除　血管内栓塞　正常灌注压突破综合症
Keywords:
arteriovenous malformation;  surgical resection 　　intravascular embolization normal pressure breakthrough syndrome
分类号:
-
DOI:
-
文献标识码:
-
摘要:
为探讨术前血管内栓塞在治疗巨大脑动静脉畸形(AVMs)中的作用, 作者从1996年8月至1998年4月对27例巨大AVMs的患者进行手术治疗。每个患者于术前均行AVMs血管内栓塞。结果显示先行血管内栓塞后进行手术切除可明显减少术中出血, 大大降低术后致残率和死亡率, 并可有效地防止正常灌注压突破综合征(NPPB)。本研究提示血管内栓塞与手术切除联合治疗巨大脑AVM是一种行之有效的手段。
Abstract:
To investigate the effects of preoperative intravascular embolization on treatment of intracranial giant arteriovenous malformations (AVMs),we have successfully operations on 27 patients with intracranial giant AVMs from Augest, 1997 to April, 1998.Every patient was treated with preoperative intravascular embolization. Compared with surgical resection alone, we found that the surgical resection after intravascular embolization can reduce the intraoperative hemorrhage greatly, diminish the postoperative mortality or morbidity and prevent normal perfusion pressure breakthrough syndrome (NPPB) significantly.The present study suggest that combination of surgical resection with intravascular embolization is an effective way in the treatment of giant cerebral AVMs.

参考文献/References

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备注/Memo

备注/Memo:
(收稿1998-12-22　修回1999-03-05)
更新日期/Last Update: 1999-03-01