论文部分内容阅读
目的报道59例儿童脑动静脉畸形诊治体会。方法回顾分析长征医院1990～2000年收治59例18岁以下脑AVM患儿诊治结果,其中单纯手术治疗10例;栓塞后再手术7例;栓塞后伽玛刀治疗18例;手术后伽马刀治疗3例;单纯栓塞治疗5例;直接伽玛刀治疗13例;未治3例。结果48例(48/59)患儿临床表现为出血,47例(47/56)治疗后没有产牛任何新的神经功能缺损,6例(6/56)治疗后出现轻度神经功能缺损或神经功能缺损加重,2例(2/56)患儿遗留严重的神经后遗症,死亡1例。未治3例,死亡1例。结论儿童脑AVM具有出血率高及出血凶猛的特点,应争取积极治疗,合理正确使用显微手术、放疗、血管内栓塞等治疗手段,临床效果满意。
Objective To report the diagnosis and treatment of cerebral arteriovenous malformation in 59 children. Methods The diagnosis and treatment of 59 children with AVM under the age of 18 undergoing surgery in Changzheng Hospital from 1990 to 2000 were retrospectively analyzed. Among them, 10 were treated by simple operation, 7 after embolization, and 18 were treated by gamma knife after embolization. After operation, Treatment of 3 cases; simple embolization in 5 cases; direct gamma knife treatment in 13 cases; 3 cases not treated. Results 48 cases (48/59) had clinical manifestations of hemorrhage, 47 cases (47/56) had no new neurological deficits and 6 (6/56) had mild neurological deficits or Two cases (2/56) of children left severe neurological sequelae and 1 died. 3 cases were not cured and 1 died. Conclusion The brain AVM in children has the characteristics of high bleeding rate and fierce bleeding. Active AVM should be strived for the correct and proper use of microsurgery, radiotherapy and endovascular embolization. The clinical effect is satisfactory.