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目的探讨脑动静脉畸形(AVM)血管内治疗的方法。方法回顾分析45例脑AVM患者应用二氰基丙烯酸正丁酯(NBCA)生物胶进行血管内栓塞治疗经验。结果栓塞程度:9例完全栓塞,12例栓塞70%～90%,13例栓塞50%～70%,11例栓塞小于50%。栓塞后行手术切除治疗21例,咖玛刀治疗15例。随访无一例再出血和死亡。结论血管内栓塞治疗脑AVM安全性好,损伤小,是治疗AVM的首选方法;并是AVM综合治疗的重要组成部分。
Objective To explore the method of endovascular treatment of cerebral arteriovenous malformation (AVM). Methods A retrospective analysis of 45 cases of brain AVM patients with n-butyl cyanoacrylate (NBCA) bio-glue for endovascular embolization experience. Results The degree of embolism was 9 cases of complete embolism, 12 cases of embolism 70% ~ 90%, 13 cases of embolization 50% ~ 70%, 11 cases of embolization less than 50%. Surgical resection of embolization in 21 cases, 15 cases of cauliflower treatment. No other case of follow-up of bleeding and death. Conclusions Endovascular embolization is a safe and effective method for the treatment of AVM. It is the first choice for the treatment of AVM. It is also an important part of AVM.