临床神经外科杂志2019，Vol.16Issue(5)：381-385,5.DOI:10.3969／j.issn.1672-7770.2019.05.003
儿童脑动静脉畸形急性出血40例临床分析
Clinical analysis of 40 cases of cerebral arteriovenous malformation with acute hemorrhage in children
摘要
Abstract
Objective To explore the clinical features , treatment and prognosis of acute hemorrhage of cerebral arteriovenous malformations ( AVM) in children.Methods 40 cases of children with acute hemorrhage of cerebral AVM were included from January 2006 to January 2016 in the department of neurosurgery , Zhongshan Hospital Affiliated to Xiamen University.The characteristics, clinical manifestations, imaging features, surgical treatment and prognosis were analyzed.Results Children aged 9 to 11 had the highest incidence.The incidence rate was 1.56∶1.Digital subtraction angiography was the diagnostic gold standard for acute hemorrhage in children with cerebral AVM.According to Spetzler-Martin grading, different strategies were performed. Three methods could be chosen.Spetzler-MartinⅠ Ⅱ AVM were treated with surgical resection , interventional embolization or gamma knife radiation.Spetzler-Martin Ⅲ Ⅳ larger than 4 cm in diameter or with multiple arterial donors , resection of intracranial hematoma and cerebral AVM were performed.Conclusions Early diagnosis, comprehensive surgical treatment , prevention of rehemorrhage, prevention and treatment of seizure onset and rehabilitation of neurological function can effectively improve the prognosis of patients with acute hemorrhage of cerebral AVM.关键词
儿童/脑动静脉畸形/脑出血/手术治疗/临床分析Key words
children/ cerebral arteriovenous malformations/ brain hemorrhage / surgical treatment/ clinical analysis分类
医药卫生引用本文复制引用
孙瑾,黄延林,刘忠,董桂江,童俊江,杨芳裕,林晓宁,田新华..儿童脑动静脉畸形急性出血40例临床分析[J].临床神经外科杂志,2019,16(5):381-385,5.基金项目
福建省青年基金(2015-2-50) （2015-2-50）
福建省科技卫生联合基金(2017J01367) （2017J01367）
厦门市科技局基金(3502z20179046) （3502z20179046）
