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为了进一步研究脑动脉瘤和动静脉畸形(AVM)的治疗方法和提高其疗效,对6例脑动脉瘤,6例AVM患者在全脑血管造影明确诊断的基础上,选用钨丝螺旋圈(Seirale)栓塞动脉瘤、丝线和α-氰基丙烯酸正丁酯(NBCA)栓塞AVM病变。4例脑动脉瘤被完全栓塞,患者症状消失;2例脑动咏瘤因插管困难,栓塞未能成功。4例AVM栓塞后病灶缩小76％以上(其中2例完全闭塞),另2例病灶缩小≤75％。证实血管内栓塞术治疗脑动脉瘤和AVM是一种创伤小、安全、有效和实用的方法,Spirale是栓塞脑动脉瘤的较好材料;但如何完全闭塞AVM是治疗的难点,主张先用丝线作基础栓塞,然后再加用NBCA。
In order to further study the treatment of cerebral aneurysm and arteriovenous malformation (AVM) and improve its curative effect, 6 cerebral aneurysms and 6 AVM patients were diagnosed by whole brain angiography with the help of Seirale ) Embolism aneurysm, silk thread, and embolic AVM lesions with n-butyl α-cyanoacrylate (NBCA). 4 cases of cerebral aneurysm was completely embolized, the patient’s symptoms disappeared; 2 cases of cerebral artery tumor due to intubation difficulties, embolization failed. 4 cases of AVM embolization lesions narrowed more than 76% (2 cases of complete occlusion), and the other 2 lesions reduced ≤ 75%. Confirmed that endovascular embolization of cerebral aneurysms and AVM is a traumatic small, safe, effective and practical method, Spirale embolization of cerebral aneurysms is a better material; but how completely occluded AVM is the treatment of difficulties, advocating the first use of silk As the basis of embolization, and then add NBCA.