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为了探讨脑血管畸形的病理分型、血管形态结构与出血的关系,用光镜及组织化学方法,在对82例脑血管畸形的临床病理学特性进行比较观察的基础上,提出一种新的组织学分类法。结果:将脑血管畸形分为4种病理类型,即动静脉畸形(AVM,包括以动脉为主型AVM,以静脉为主型AVM,混合型AVM3个亚型)、毛细血管扩张症、静脉畸形和多种血管畸形混合型4型。发现病理组织学类型与脑出血有一定的关系,说明该分型具有临床实用价值。结果显示,血管壁薄弱或微小动脉瘤形成,是脑血管畸形出血的病理组织学基础。
In order to explore the pathological classification of cerebrovascular malformations and the relationship between the morphology of blood vessels and hemorrhage, a new type of cerebrovascular malformations was proposed based on the clinicopathological features of 82 cases of cerebrovascular malformations by light microscopy and histochemical methods Histological classification. Results: Cerebral vascular malformations were divided into four pathological types, arteriovenous malformations (AVMs, including arterial dominant AVMs, mainly venous AVMs and mixed AVMs 3 subtypes), telangiectasias, venous malformations And a variety of vascular malformations mixed type 4. Found that histopathology and cerebral hemorrhage have a certain relationship, indicating that the classification has clinical value. The results showed that the weakness of the blood vessel wall or the formation of aortic aneurysm is the pathological basis of cerebrovascular malformation hemorrhage.