脊柱血管畸形的血管内治疗

Chen Zuo-quan
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引用次数: 0

摘要

目的探讨内腔血管治疗脊髓血管畸形的疗效。方法41例患者均采用丝线栓塞3例,干硬膜颗粒选择性栓塞14例,PVA栓塞16例,NBCA栓塞8例。结果病灶完全栓塞27例,部分栓塞14例。36例肢体麻痹得到明显改善,5例因先前切除病变未见改善。随访32个月,痊愈18例,复发5例。结论血管内治疗是治疗脊髓血管畸形的有效方法。
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Endovascular treatment of spinal vascualar malformation
Objective To evaluate the treatment of spinal cord vascular malformations by endo vascular therapy. Methods All 41 patients including 3 cases were embolized by 3 0 silk line segments, 14 cases by selective embolization of dry dura particles, 16 by PVA and 8 cases by NBCA. Results Lesions were completely embolized in 27 cases, and partialy embolized in 14 cases. Paralysis of limbs were significantly improved in 36 cases, the other 5 cases showed no improvement on account of previous resection of the lesions. During 32 months follow up period, 18 cases recovered completely but with recurrence in 5. Conclusion Endovascular therapy is effective for spinal cord vascular malformations.
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Journal of Interventional Radiology
Journal of Interventional Radiology Medicine-Radiology, Nuclear Medicine and Imaging
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