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目的 探讨髓周动静脉瘘的诊断、分型、血管内栓塞治疗的疗效。方法 对 2 5例经脊髓动脉造影证实为髓周动静脉瘘的患者行血管内栓塞治疗。结果 型瘘 5例 , 型瘘 12例 , 型瘘 8例。经栓塞治疗后痊愈 4例 ,显效 12例 ,好转 4例 ,无变化 4例 ,加重 1例。结论 脊髓 DSA可明确髓周动静脉瘘的诊断、分型 ,并确定其供血动脉及瘘口位置 ,血管内栓塞对该病是一种安全、有效的治疗方法
Objective To investigate the diagnosis, classification and treatment of medullary arteriovenous fistula. Methods Twenty-five patients with intramedullary arteriovenous fistula confirmed by spinal arteriography underwent endovascular embolization. Results of fistula in 5 cases, 12 cases of fistula, 8 cases of fistula. After embolization cured in 4 cases, 12 cases markedly improved in 4 cases, no change in 4 cases, an increase of 1 case. Conclusion Spinal cord DSA can confirm the diagnosis and classification of the medullary arteriovenous fistula, and determine the location of its feeding artery and fistula. Intravascular embolization is a safe and effective treatment for the disease