摘要
目的报道血管内栓塞治疗硬脊膜动静脉瘘(SDAVF)的临床和影像学结果。方法回顾性分析青岛大学附属医院介入医学科治疗的7例SDAVF患者流行病学、脊髓MRI及脊髓DSA、治疗方法及术后随访资料。结果 7例患者脊髓MRI均有异常发现,DSA明确诊断后均行血管内栓塞治疗。术后随访6个月,7例患者症状得到不同程度改善,其中经NBCA胶栓塞治疗4例无复发,经Onyx胶栓塞治疗3例中1例复发。结论血管内栓塞是治疗SDAVF有效、安全的方法,但还需进一步探索。
Objective To investigate the clinical effect of endovascular embolization in treating spinal dural arteriovenous fistulae,and to discuss its imaging manifestations.Methods A total of 7 patients with spinal dural arteriovenous fistulae were included in this study.Endovascular embolization was carried out in all the 7 patients.The clinical data,including epidemiology,spinal MRI and DSA manifestations,therapeutic method and follow-up findings,were retrospectively analyzed.Results Abnormal MRI manifestations of spinal cord were demonstrated in all 7 patients.After the diagnosis was confirmed by DSA,endovascular embolization was carried out.All patients were followed up for 6 months,and their clinical symptoms were improved in different degrees.N-butyl cyanoacrylate（NBCA） glue was used as embolization agent in 4cases,and no recurrence was observed in them.Onyx liquid glue was used in 3 patients,and in one of them the arteriovenous fistula recurred.Conclusion For the treatment of spinal dural arteriovenous fistulae,endovascular embolization is effective and safe although further investigation is still needed.
出处
《介入放射学杂志》
CSCD
北大核心
2015年第3期185-187,共3页
Journal of Interventional Radiology
