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目的 探讨国产NBCA胶栓塞治疗脑动静脉畸形的优越性,微导管及DSA改进后适应症的变化及栓塞治疗并发症的防治。方法 经股动脉插管,微导管插至病变处,用国产NBCA胶对24例脑动静脉畸形实施栓塞治疗,男15例,女9例;年龄5～48岁。结果 3次栓塞1例,2次栓塞2例,其余栓塞一次,100％栓塞7例,80～90％栓塞10例,50％栓塞4例,30％栓塞3例。结论 国产NBCA胶栓塞治疗脑动静畸形安全,效果确实,不易复发,可作为首选材料,对不能完全栓塞病例可采用联合治疗,加用开颅手术切除或γ-刀治疗,提高治愈率。
Objective To investigate the superiority of domestic NBCA gel plug in the treatment of cerebral arteriovenous malformations, the changes of microcatheter and DSA indications and the prevention and treatment of complications after embolization. Methods Twenty-four cerebral arteriovenous malformations were embolized with domestic NBCA glue through cannulation of femoral artery and microcatheter. There were 15 males and 9 females, aged 5 to 48 years old. Results 3 cases of embolism in 1 case, 2 embolization in 2 cases, the other embolism once, 100% embolization in 7 cases, 80 ~ 90% embolization in 10 cases, 50% embolization in 4 cases, 30% embolization in 3 cases. Conclusion The domestic NBCA glue plug treatment of cerebral malformation safety, the effect is indeed difficult to relapse, can be used as the material of choice, can not be completely embolization cases can be combined treatment, plus craniotomy or γ-knife treatment to improve the cure rate.