[1]张仁德,王 蒙,王俊宽,等.硬脊膜动静脉瘘的治疗及预后相关因素分析[J].郑州大学学报(医学版),2018,(04):529-534.[doi:10.13705/j.issn.1671-6825.2017.11.057]
 ZHANG Rende,WANG Meng,WANG Junkuan,et al.Analysis of treatment and prognostic factors of spinal dural arteriovenous fistula[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2018,(04):529-534.[doi:10.13705/j.issn.1671-6825.2017.11.057]
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硬脊膜动静脉瘘的治疗及预后相关因素分析()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2018年04期
页码:
529-534
栏目:
应用研究
出版日期:
2018-07-20

文章信息/Info

Title:
Analysis of treatment and prognostic factors of spinal dural arteriovenous fistula
作者:
张仁德王 蒙王俊宽左玉超孙红卫
郑州大学第一附属医院神经外科 郑州 450052
Author(s):
ZHANG RendeWANG MengWANG JunkuanZUO YuchaoSUN Hongwei
Department of Neurosurgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
硬脊膜动静脉瘘 治疗 预后因素
Keywords:
spinal dural arteriovenous fistula treatment prognostic factors
分类号:
R744.1
DOI:
10.13705/j.issn.1671-6825.2017.11.057
摘要:
目的:分析血管内栓塞及显微外科手术治疗硬脊膜动静脉瘘(SDAVF)的疗效、复发率,探讨其预后的相关因素。方法:回顾性分析44例SDAVF患者的临床资料。34例患者接受血管内栓塞治疗,10例患者接受显微外科手术治疗,比较两种治疗方式的治疗效果及复发率,并对SDAVF患者的预后因素进行分析。结果:显微外科手术治疗组中临床治愈7例,改善1例,无变化2例,无患者复发。血管内栓塞治疗组中临床治愈20例,改善4例,无变化8例,恶化或加重2例; 6例患者在术后9个月内复发。两组疗效及复发率差异无统计学意义(P>0.05)。确诊时间、术前脊髓水肿程度与SDAVF预后有关。结论:血管内栓塞和显微外科手术均为治疗SDAVF的有效方法,个体化治疗有助于提高临床疗效。确诊时间、术前脊髓水肿程度是SDAVF患者预后的独立因素。
Abstract:
Aim:To analyze the efficacy and recurrence rate of endovascular embolization and microsurgery in treating spinal dural arteriovenous fistula(SDAVF)and to explore the related prognostic factors of SDAVF.Methods: The clinical data of 44 patients with SDAVF were retrospectively analyzed.There were 34 patients accepting endovascular therapy, and 10 patients accepting microsurgical therapy. The efficacy and recurrence rate of the two treatment methods were compared, and the prognostic factors were analyzed.Results: There were 7 cases obtained clinical cure in microsurgical treatment group, 1 case improved, and 2 cases had no significant change. There were 20 cases obtained clinical cure in endovascular treatment group, 4 cases improved, 8 cases had no significant change, and 2 cases suffered from deterioration. There were 6 cases who underwent endovascular treatment suffered from recurrence within 9 months after surgery. There was no significant difference in the efficacy or recurrence rate between the two groups.The prognosis of SDAVF were related to the time of confirmed diagnosis and the extent of spinal cord edema.Conclusion:Endovascular embolization and microsurgical treatment are both effective therapy of SDAVF. Both the time of confirmed diagnosis and the extent of spinal cord edema are prognostic factors of SDAVF.

参考文献/References:

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备注/Memo

备注/Memo:
【基金项目】河南省自然科学基金资助项目(162300410307); 河南省医学科技攻关计划基金资助项目(201602087)
【作者简介】孙红卫,通信作者,男,1966年4月生,硕士,教授,主任医师,研究方向:脑血管病及颅底肿瘤,E-mail:SunHongWei800@126.com
更新日期/Last Update: 2018-06-20