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目的：探讨脑动静脉畸形（AVM）介入栓塞治疗的方法及栓塞程度、栓塞材料的选择，以期达到临床治愈，避免手术治疗。材料和方法：经临床表现和CT、MR诊断．DSA证实的16例脑AVM患者，将微导管送入其供血动脉或畸形血管团内，用国产钨丝微螺旋圈及IBCA胶行栓塞治疗，栓后行造影了解栓塞情况．定期随访。结果：16例患者的脑AVM畸形血管团不同程度栓塞，其中6例呈完全性，4例栓塞70％～95％，4例约50％～70％，2例为25％～50％，栓塞后症状均改善，3例治疗过程中出现脑血管痉挛，2例栓后出现病变对侧下肢肌力下降，未见其它并发症；随访6月至28月无复发。结论：介入治疗脑AVM疗效肯定，对患者创伤小、并发症中．对较单纯的AVM可以完全治愈．对较复杂者可多次治疗，也可配合伽玛刀、手术等使之治愈，国产钨丝微弹簧圈使用安全、方便实用，IBCA胶栓塞畸形血管团较彻底．介入栓塞治疗宜做为脑AVM的首选治疗方法。
Objective: To investigate the method of interventional embolization of cerebral arteriovenous malformation (AVM) and its embolization degree and choice of embolic material in order to achieve clinical cure and avoid surgical treatment. Materials and Methods: The clinical manifestations and CT, MR diagnosis. DSA confirmed 16 cases of AVM in patients with micro-catheter into its feeding artery or vascular malformation group, with domestic tungsten micro spiral circle and IBCA plastic embolization embolization, suppository embolization after embolization. Regular follow-up. Results: The vascular AVM malformations in 16 patients were embolized to varying degrees, of which 6 were complete, 4 were 70% -95%, 4 were about 50% -70%, 2 were 25% -50% After the symptoms were improved, three cases of cerebral vasospasm occurred in the course of treatment, 2 cases of lesion after the contralateral lower limb muscle strength decreased, no other complications; follow-up from June to 28 months without recurrence. Conclusion: Interventional treatment of brain AVM sure effect, small trauma patients, complications. The more pure AVM can be completely cured. More complex treatment can be repeated, but also with the gamma knife, surgery to make it cured, domestic tungsten wire coil spring safe, convenient and practical, IBCA plastic plug vascular abnormalities more thorough. Interventional embolization should be the preferred treatment for brain AVM.