重庆医学Issue(18)：2282-2284,3.DOI:10.3969/j.issn.1671-8348.2014.18.008
儿童期脑动静脉畸形出血早期诊断和显微外科治疗
Early diagnosis and microsurgical treatment of cerebral arteriovenous malformation hemorrhage in childhood
文远超 1余云湖 1冉启山 1朱涛 2张川 2杨开华 1王飞1
作者信息
- 1. 贵州省遵义市第一人民医院神经外科 563002
- 2. 天津医科大学总医院神经外科，天津 300052
- 折叠
摘要
Abstract
Objective To investigate the diagnostic method,microsurgical operation time and effect of brain arteriovenous mal-formation(AVM)rupture hemorrhage in childhood.Methods 72 children (≤16 years old)of AVM hemorrhage from 2003 to 2013 were retrospectively analyzed.Results The CT diagnosis rate was 48.6%(35/72),the MRI diagnosis rate was 78.3%(47/60),56 cases were performed the early whole brain DSA under the condition permitting,its diagnosis rate was 98.2%(55/56).All the cases were performed the hematoma clearance plus the pertinent lesion resection.70 cases were re-examined by DSA/CTA/MRA during postoperative perioperation period.The lesion resection rate was 91.5%,the partial resection rate was 8.6%.60 cases(85.7%) were successfully followed up for 6 months to 6 years and assessed by the Glasgow outcome scale,5 points in 5 5 cases,4 points in 2 cases,3 points in 2 cases and 2 points in 1 cases.Conclusion DSA is the main detection measure for early diagnosing AVM hem-orrhage and the microsurgical operation in the acute stage can reduce the fatality and improve the prognosis.关键词
颅动静脉畸形/出血/显微外科/儿童期Key words
intracranial-arteriovenous-malformation/hemorrhage/microsurgery/childhood引用本文复制引用
文远超,余云湖,冉启山,朱涛,张川,杨开华,王飞..儿童期脑动静脉畸形出血早期诊断和显微外科治疗[J].重庆医学,2014,(18):2282-2284,3.
