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硬膜AVM的治疗方法很多,包括手术切除、供血动脉结扎和栓塞等,但多不彻底,术后易于复发.作者从慢性硬膜下血肿的病因学与雌激素关系的动物实验研究中得到启示:既然大剂量雌激素可引起硬膜血循环紊乱,能否将之用于硬膜AVM的治疗呢?基于这一设想,氏等试用于8例海绵窦区和/或后颅窝AVM病人,收到了良好的效果,在另外3例脑膜瘤病人也达到了大大减少术中出血的目的.方法:局麻下,将一Teflon管(外径1.0mm,内径0.5mm)插入颈外动脉,直至畸形主要供血动脉起点处或供血动脉内.导管尾端与灌注泵相连,经泵注入Premarin(唯一可
Dural AVM treatment of many ways, including surgical resection, blood supply artery ligation and embolism, but more incomplete, easy to relapse after surgery.The author from the etiology of chronic subdural hematoma and estrogen in animal experimental study enlightenment : Given that high doses of estrogen can cause dural blood circulation disorders, can it be used for the treatment of epidural AVM? Based on this idea, and so on in the trial of 8 cases of cavernous sinus and / or posterior fossa AVM patients, received To a good effect, in another 3 cases of meningioma patients also achieved a significant reduction in intraoperative bleeding.Methods: A local anesthesia, a Teflon tube (outer diameter 1.0mm, diameter 0.5mm) into the external carotid artery, until the deformity The main feeding artery at the beginning or within the feeding artery.The catheter tail connected to the perfusion pump, the pump into Premarin (the only