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目的探讨Onyx胶在复杂型脑动静畸形血管(AVM)治疗中的临床应用价值。方法采用Onyx胶栓塞20例复杂型脑AVM,其中位于功能区9例,大脑半球深部5例,小脑半球4例,脑膜脑AVM 2例,AVM大小3~6 cm16例,6 cm以上4例。结果畸形血管团完全栓塞1例,90%栓塞10例,80%栓塞8例,50%~70%栓塞1例。术后复查CT均无脑出血。术后患者随访效果满意。结论Onyx胶的应用能安全有效地提高复杂脑AVM血管内治疗的效果。
Objective To investigate the clinical value of Onyx glue in the treatment of complicated cerebral arteriovenous malformation (AVM). Methods Ninety patients with complex AVM were enrolled in Onyx gel embolization. There were 9 cases in functional zone, 5 cases in deep hemisphere, 4 cases in cerebellar hemisphere, 2 cases in AVM, 3 cases in AVM range from 3 cm to 6 cm and 4 cases in 6 cm. Results The group of complete vascular embolism in 1 case, 90% embolization in 10 cases, 80% embolization in 8 cases, 50% to 70% embolization in 1 case. Postoperative CT no cerebral hemorrhage. Postoperative follow-up results were satisfactory. Conclusion The application of Onyx gum can effectively and safely improve the efficacy of endovascular AVM in complex brain.