论文部分内容阅读
目的探讨颈延交界区硬脊膜动静脉瘘的临床特点及其治疗。方法对6例经脊髓MRJ和血管造影检查确诊的颈延交界区硬眷膜动静脉瘘患者实施枕下后入路显微镜下瘘口夹闭术,术后随访4个月～2年,观察疗效。结果术后造影显示瘘口及引流静脉未显影。5例患者双下肢肌力恢复至Ⅳ级,大、小便能够自控;1例症状元改善。结论显微镜下行瘘口央闭术治疗颈延交界区硬脊膜动静脉瘘,疗效确切,早期诊断和治疗是取得较好疗效的关键。
Objective To investigate the clinical characteristics and treatment of spinal dural arteriovenous fistula. Methods Six patients underwent transoccipital posterior approach microsurgical fistula occlusion in 6 patients with JFVR diagnosed by MRJ and angiography. The follow-up was 4 months to 2 years after operation, and the effect was observed . Results postoperative angiography showed no fistula and drainage veins. Five cases of patients with lower limb muscle strength recovered to grade Ⅳ, large, urine can be controlled; 1 case of symptoms improved. Conclusions Microscope under the fistula closure surgery for the treatment of spinal dilation junctional spinal arteriovenous fistula, curative effect is exact, early diagnosis and treatment is to obtain better curative effect.