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目的 :探讨硬脑膜动静脉瘘的病因 ,分类及治疗。方法 :2 6例均采用超选择插管栓塞 ,其 4例同时行静脉入路静脉窦内栓塞 ,联合手术 2例 ,X -刀治疗 1例。结果 :海绵窦区硬膜动静脉瘘者 ,17例瘘口完全消失 ,4例栓塞后瘘口有残留 ,结合颈动脉压迫法后 2例瘘口消失。侧窦硬脑膜动静脉瘘者 ,瘘口完全消失 3例 ,部分消失 2例。结论 :血管内栓塞治疗硬脑膜动静脉瘘是目前最安全、有效的治疗方法。联合手术或放射治疗等 ,可大大提高硬脑膜动静脉瘘的临床治疗愈率。
Objective: To investigate the etiology, classification and treatment of dural arteriovenous fistula. Methods: Twenty - six patients underwent superselective intubation embolization. Four patients underwent venous sinus embolization at the same time. Two patients underwent combined surgery and one was treated with X - knife. Results: In the cavernous sinus area, 17 cases of fistula disappeared completely, 4 cases had residual fistula after embolization. Two cases of fistula disappeared after carotid artery compression. Side dural arteriovenous fistula, fistula completely disappeared in 3 cases, partially disappeared in 2 cases. Conclusion: Endovascular embolization is the safest and most effective treatment for dural arteriovenous fistula. Combined surgery or radiotherapy, etc., can greatly improve the clinical treatment of dural arteriovenous fistula.