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目的：经血管内栓塞治疗脊髓动静脉畸形（ＡＶＭｓ）。方法：本组１８例脊髓ＡＶＭｓ，１４例采用干燥硬脑膜粒栓塞，２例采用α－氰基丙烯酸正丁酯（ＮＢＣＡ）胶粘合剂经微导管超选择性栓塞，另２例用３个０真丝线段栓塞。结果：病灶完全栓塞１５例，栓塞８０％～９０％３例。肢体瘫痪症状明显改善１６例，其中２例有手术切除史者症状未改善，平均随访３２个月，有１４例症状完全恢复正常，２例多支供血者经再次栓塞治疗后症状改善，另２例无变化。结论：血管内治疗脊髓ＡＶＭｓ优于手术治疗，应首先采用此法
Objective: Endovascular embolization in the treatment of spinal arteriovenous malformations (AVMs). Methods: Eighteen cases of spinal AVMs in this group were treated with dry dural embolization in 14 cases, transcatheter embolization with microcapsules in 2 cases with nBCA adhesive and 2 cases with 3 0 Silk thread plug. Results: Complete embolization in 15 cases, embolization 80% to 90% in 3 cases. The symptoms of limb paralysis were significantly improved in 16 cases, of which 2 cases had history of surgical resection, the symptoms did not improve. With an average follow-up of 32 months, 14 cases recovered completely. The symptoms of 2 multi-branch donors were improved after re-embolization. No case of change. Conclusion: Endovascular treatment of AVM spinal cord is better than surgical treatment, this method should be used first