硬脊膜動靜脈瘺的手術治療和長期隨訪_《華西醫學》

作者：

四川大學華西醫院神經外科,四川成都 610041;

關鍵詞：

硬脊膜動靜脈瘺手術治療隨訪

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目的:探討硬脊膜動靜脈瘺(SDAVF)的手術治療效果。方法:2000～2006年我科收治21例SDAVF,回顧性分析術前資料及術后隨訪情況。結果:21例均能完全切除病灶,手術后狀態好轉者14例,不變5例,加重2例。改良Aminoff-Logue功能評分降低。早期患者手術效果最好。長期隨訪手術效果穩定,復發率低。結論:SDAVF的手術治療是一種安全有效的技術,可以達到較好的解剖治愈率,治療效果穩定確切。特別是早期手術治療有利于患者神經功能的恢復。

引用本文： 張瑜,賀民. 硬脊膜動靜脈瘺的手術治療和長期隨訪. 華西醫學, 2009, 24(9): 2397-2399. doi: 復制

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2.	HUFFMANN BC, GILSBACH JM, Thron A. Spinal dural arteriovenous fistulas: Aplea for neurosurgical treatment [J].Acta Neurochir (Wien), 1995, 135:44-51.
3.	LEE TL, GROMELSKI EB, BOWEN BC, et al. Diagnostic and surgical managementof spinal dural arteriovenous fistulas[J].Neurosurgery, 1999, 843:242-247 [4]OLDFIELD E H, DICHIRO G, QUINDLEN E A, et al. Successfultreatment of a group of spinal cord arteriovenous malformations by interruptionof dural fistula[J]. Neurosurg, 1983, 59:10191030.
4.	SYMON L, KUYAMA H, KENDALL B. Dural arteriovenous malformations of thespine [J].Neurosurg, 1984,60:238-247.
5.	HASSLER W, THRON A. Flow velocity and pressure measurements in spinaldural arteriovenous fistulas [J].Neurosurg Rev, 1994,17:29-36.
6.	HASSLER W, THRON A, GROTE EH. Hemodynamics of spinal dural arteriovenousfistulas: An interoperative study[J]. Neurosurg, 1989,70:360-370.
7.	MASARYK TJ, ROSS JS, MODIC M, et al. Ratcheson RA:Radiculomeningeal vascular malformations of the spine: MR imaging[J].Radiology, 1987, 164:845-849.
8.	ESKANDAR EN, BORGES LF, BUDZIK RF JR, et al. Spinal duralarteriovenous fistulas: Experience with endovascular and surgical therapy[J]. Neurosurg Rev,1993,16:11-24.
9.	TACCONI L, LOPEZ IZQUIERDO C, SYMON L. Outcome and prognostic factors inthe surgical treatment of spinal dural arteriovenous fistulas: A longtermstudy[J]. Neurosurg, 1997, 11:298-305.
10.	WESTPHAL M, KOCH C. Management of spinal dural arteriovenous fistulaeusing an interdisciplinary neuroradiological/neurosurgical approach: Experience with 47 cases [J].Neurosurgery, 1999, 45:451-457.
11.	AMINOFF MJ, LOGUE V. The prognosis of patients with spinal vascular malformations [J].Brain, 1974, 97:211-218.
12.	ELSBERG CA. Diagnosis and Treatment of Surgical Diseases of the Spinal Cord and Its Membranes[M]. London, W.B. Saunders Co,1916: 94-204.
13.	AFSHAR JKB, DOPPMAN JL, OLDFIELD EH. Surgical interruption of intradural draining vein as curative treatment of spinal dural arteriovenous fistulas[J].Neurosurg, 1995, 82:196-200.
14.	VAN DIJK JMC, TER BRUGGE K, WILLINSKY RA, et al. Multidisciplinary management of spinal dural arteriovenous fistulas: Clinicalpresentation and longterm followup in 49 patients[J].Stroke,2002,20: 1578-1583.
15.	BEHRENS S, THRON A. Longterm followup and outcome in patients treated for spinal dural arteriovenous fistula[J].Neurol, 1999, 246:181-185.
16.	LOGUE V. Angiomas of the spinal cord: Review of the pathogenesis, clinical features, and results of surgery[J]. Neurol Neurosurg Psychiatry, 1979, 42:1-11.
17.	MOURIER KL, GELBERT F, REY A, et al. Spinal dural arteriovenous malformations with perimedullary drainage[J].Acta Neurochir (Wien), 1989, 100:136-141.
18.	TACCONI L, LOPEZ IZQUIERDO C, SYMON L. Outcome and prognostic factors in the surgical treatment of spinal dural arteriovenous fistulas: A longterm study [J].Neurosurg,1997,11:298-305.

1. ANSON JA, SPETZLER RF. Spinal dural arteriovenous malformations, in AwadIA, Barrow DL (eds): Dural Arteriovenous Malformations[J]. Park Ridge, AANS, 1995, 175-191.
2. HUFFMANN BC, GILSBACH JM, Thron A. Spinal dural arteriovenous fistulas: Aplea for neurosurgical treatment [J].Acta Neurochir (Wien), 1995, 135:44-51.
3. LEE TL, GROMELSKI EB, BOWEN BC, et al. Diagnostic and surgical managementof spinal dural arteriovenous fistulas[J].Neurosurgery, 1999, 843:242-247 [4]OLDFIELD E H, DICHIRO G, QUINDLEN E A, et al. Successfultreatment of a group of spinal cord arteriovenous malformations by interruptionof dural fistula[J]. Neurosurg, 1983, 59:10191030.
4. SYMON L, KUYAMA H, KENDALL B. Dural arteriovenous malformations of thespine [J].Neurosurg, 1984,60:238-247.
5. HASSLER W, THRON A. Flow velocity and pressure measurements in spinaldural arteriovenous fistulas [J].Neurosurg Rev, 1994,17:29-36.
6. HASSLER W, THRON A, GROTE EH. Hemodynamics of spinal dural arteriovenousfistulas: An interoperative study[J]. Neurosurg, 1989,70:360-370.
7. MASARYK TJ, ROSS JS, MODIC M, et al. Ratcheson RA:Radiculomeningeal vascular malformations of the spine: MR imaging[J].Radiology, 1987, 164:845-849.
8. ESKANDAR EN, BORGES LF, BUDZIK RF JR, et al. Spinal duralarteriovenous fistulas: Experience with endovascular and surgical therapy[J]. Neurosurg Rev,1993,16:11-24.
9. TACCONI L, LOPEZ IZQUIERDO C, SYMON L. Outcome and prognostic factors inthe surgical treatment of spinal dural arteriovenous fistulas: A longtermstudy[J]. Neurosurg, 1997, 11:298-305.
10. WESTPHAL M, KOCH C. Management of spinal dural arteriovenous fistulaeusing an interdisciplinary neuroradiological/neurosurgical approach: Experience with 47 cases [J].Neurosurgery, 1999, 45:451-457.
11. AMINOFF MJ, LOGUE V. The prognosis of patients with spinal vascular malformations [J].Brain, 1974, 97:211-218.
12. ELSBERG CA. Diagnosis and Treatment of Surgical Diseases of the Spinal Cord and Its Membranes[M]. London, W.B. Saunders Co,1916: 94-204.
13. AFSHAR JKB, DOPPMAN JL, OLDFIELD EH. Surgical interruption of intradural draining vein as curative treatment of spinal dural arteriovenous fistulas[J].Neurosurg, 1995, 82:196-200.
14. VAN DIJK JMC, TER BRUGGE K, WILLINSKY RA, et al. Multidisciplinary management of spinal dural arteriovenous fistulas: Clinicalpresentation and longterm followup in 49 patients[J].Stroke,2002,20: 1578-1583.
15. BEHRENS S, THRON A. Longterm followup and outcome in patients treated for spinal dural arteriovenous fistula[J].Neurol, 1999, 246:181-185.
16. LOGUE V. Angiomas of the spinal cord: Review of the pathogenesis, clinical features, and results of surgery[J]. Neurol Neurosurg Psychiatry, 1979, 42:1-11.
17. MOURIER KL, GELBERT F, REY A, et al. Spinal dural arteriovenous malformations with perimedullary drainage[J].Acta Neurochir (Wien), 1989, 100:136-141.
18. TACCONI L, LOPEZ IZQUIERDO C, SYMON L. Outcome and prognostic factors in the surgical treatment of spinal dural arteriovenous fistulas: A longterm study [J].Neurosurg,1997,11:298-305.

《華西醫學》

硬脊膜動靜脈瘺的手術治療和長期隨訪

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《華西醫學》

硬脊膜動靜脈瘺的手術治療和長期隨訪

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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