论文部分内容阅读
58例脑动静脉畸形患者,直接手术40例,血管内栓塞术5例,手术死亡率2.2%,另有13例仅作内科治疗。10~40岁发病率最高,占77.6%。首发症状以颅内出血最多,共37例,占63.8%;癫痫17例,占29.3%。畸形血管团直径小于2.5cm者8例,2.5~5cm者30例,大于5cm者8例,未发现畸形血管(隐匿型)者12例。出血及畸形血管位于幕上者50例(86.2%),位于幕下者8例(13.8%)。而且作者对本病的发病情况,畸形血管的分型及手术方法的选择,结合文献复习,提出自己的体会。
58 cases of cerebral arteriovenous malformations, direct surgery in 40 cases, endovascular embolization in 5 cases, 2.2% surgical mortality, and another 13 cases were only for medical treatment. The highest incidence of 10 to 40 years old, accounting for 77.6%. The first symptom to intracranial hemorrhage up to a total of 37 cases, accounting for 63.8%; epilepsy in 17 cases, accounting for 29.3%. Deformity vascular group diameter less than 2.5cm in 8 cases, 2.5 ~ 5cm in 30 cases, more than 5cm in 8 cases, no abnormal blood vessels (occult) in 12 cases. Fifty cases (86.2%) of bleeding and malformation vessels were located on the screen, and 8 cases (13.8%) were located under the screen. And the author of the incidence of the disease, abnormal blood vessels and surgical methods of choice, combined with the literature review, put forward their own experience.