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目的 :探讨血管内栓塞治疗脊髓血管畸形的适应证、疗效、并发症等。方法 :回顾性分析本院收治的资料完全的脊髓血管畸形 3 2例 ,其中行单纯血管内栓塞者 2 4例。以Aminoff Logue量表对患者双下肢及小便功能障碍程度行定量评价。结果 :栓塞后多数病例临床症状明显缓解。平均随访 2 7月 ,单纯栓塞患者双下肢功能障碍评分从治疗前的3 .5± 1.2 (均值±标准差 )降为 2 .5± 1.3 (P <0 .0 5 ) ,小便功能障碍评分从 1.7± 0 .9降至 1.1± 0 .5 (P <0 .0 5 )。 1例单纯栓塞患者治疗后症状复发 ,予再次栓塞。结论 :脊髓血管畸形的治疗方案应取决于病变的解剖部位和血管造影表现。血管内栓塞治疗至少能在短期内改善症状 ,提高患者生命质量
Objective: To investigate the indications, curative effects and complications of endovascular embolization in the treatment of spinal vascular malformations. Methods: A total of 32 cases of complete spinal vascular malformations were retrospectively analyzed, of which 24 cases were treated with simple endovascular embolization. Aminoff Logue scale on patients with lower extremities and urinary dysfunction quantitative evaluation. Results: Most of the cases after embolization clinical symptoms were relieved. After a mean follow-up of 27 months, the score of dysfunction of both lower extremities in patients with simple embolism decreased from 3.5 ± 1.2 (mean ± standard deviation) before treatment to 2.5 ± 1.3 (P <0.05), and the scores of urinary dysfunction 1.7 ± 0.9 decreased to 1.1 ± 0.5 (P <0.05). One patient with simple embolism recurred after treatment and was embolized again. Conclusion: The treatment of spinal vascular malformation should depend on the anatomical location of the lesion and angiographic findings. Endovascular embolization at least in the short term to improve symptoms and improve patient quality of life