脑动静脉畸形显微外科手术30例报告

• 作 者: 肖国才 彭彪 全伟 张玉梁
• 机 构: 广州市第一人民医院外科!510180,广州市第一人民医院外科!510180,广州市第一人民医院外科!510180,广州市第一人民医院外科!510180
• 出 处: 广东医学
• 发表日期: 1997年12期
• 关键词: 脑动静脉畸形 显微外科 血管内栓塞 全切除率 供血动脉 重要功能区 神经定位体征 病灶切除 颅内出血 磁共振血管成像

目的：讨论脑动静脉畸形（AVM）的诊断、手术适应证、手术方案。方法：总结10年间所行30例脑AVM显微手术，其中2例大型脑AVM行血管内栓塞后手术切除。结果：以青年发病为高，平均年龄24．9岁，颅内出血和癫痫为主要表现。手术全切除率90％，疗效优良86％。手术死亡率3．3％。结论：显微外科手术是目前脑AVM，包括重要功能区AVM的主要治疗方法；对大型脑AVM，血管内栓塞联合显微手术是其较佳的治疗手段。

Objective: To discuss the diagnosis of cerebral AVM, surgical indication and operation plan. Methods: To summarize the 30 cases of brain AVM microsurgery performed in 10 years, including 2 cases of large cerebral AVM resected after endovascular embolization. Results: The incidence of youth is high, the average age of 24.9 years old, intracranial hemorrhage and epilepsy as the main performance. Surgical resection rate of 90%, excellent efficacy of 86%. Surgical mortality was 3.3%. Conclusions: Microsurgery is the main treatment for AVM in the brain, including important functional area AVM. It is a better treatment for large brain AVM and endovascular embolization combined with microsurgery.