硬脑膜动静脉瘘65例

目的：对硬脑膜动静脉瘘临床诊断治疗特点进行探讨。方法：对60例患者行血管内栓塞治疗，5例行颈动脉压迫法治疗。其中13例1次栓塞，25 例行2次栓塞，17例行3次栓塞，5例行4次或多次栓塞，结果：治愈36例，好转25例，4例无效，无一例死亡，结论：硬脑膜动静脉瘘的临床表现和预后与其发病部位，静脉引流类型密切相关，颈动脉压迫法及选择性血管内栓塞是安全有效的治疗方法。

Analysis of 65 cases of spontaneous dural arteriovenous fistula

Objective To report 65 cases of spontaneous dural arteriovenous fistula (DAVF) and to study the characteristics of diagnosis and treatment. Methods 60 cases were treated by endovascular embolizations and 5 cases were managed by compression of the affected carotid artery. 13 cases were treated with one session of embolization, 25 cases with 2 sessions of embolization, 17 cases with 3 sessions of embolization and 5 cases with more than 4 sessions of embolization. Results 36 cases were with complete anatomical cure. The symptoms of 25 cases significantly improved. No effects were in 4 cases and no patients died. Conclusion The clinical presentations and prognosis of DAVF chiefly depend on the site of pathological changes and the type of venous drainage. Compression of the affected carotid artery and endovascular embolization is a safe and effective methods.