中国现代神经疾病杂志 ›› 2013, Vol. 13 ›› Issue (3): 174-177. doi: 10.3969/j.issn.1672-6731.2013.03.004

• 专题讲座 • 上一篇    下一篇

2 颅内动-静脉畸形的外科治疗评价

徐锋, 宋冬雷   

  1. 200040 上海,复旦大学附属华山医院神经外科
  • 出版日期:2013-03-15 发布日期:2013-03-21
  • 通讯作者: 宋冬雷(Email:dongleisong@gmail.com)

Evaluation of surgical treatment for intracranial arteriovenous malformations

XU Feng, SONG Dong-lei   

  1. Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Online:2013-03-15 Published:2013-03-21
  • Contact: SONG Dong-lei (Email: dongleisong@gmail.com)

摘要: 颅内动-静脉畸形的治疗目的是消除颅内出血风险,最大限度地保护神经功能。治疗方法包括显微外科手术、血管内栓塞治疗和立体定向放射外科治疗。本文主要讨论颅内动-静脉畸形的各种疗方法,评价其优劣,以利于制定合理的治疗策略,提高治愈率并最大限度地降低并发症的发生。

关键词: 颅内动静脉畸形, 显微外科手术, 栓塞, 治疗性, 放射外科手术, 综述

Abstract: The main purpose of the treatment of intracranial arteriovenous malformations (AVMs) is complete obliteration of the nidus to prevent primary or recurrent intracranial hemorrhage and protect neurological functions maximally. Currently, microsurgical resection, endovascular embolization, or stereotactic radiosurgery are the most commonly used therapies which are utilized either alone or in combination. This study will discuss the pros and cons of the three therapeutic methods of AVMs in order to determine the optimal treatment. The choice of a multimodality treatment should follow the principle of improving the cure rate and avoiding complications as much as possible.

Key words: Intracranial arteriovenous malformations, Microsurgery, Embolization, therapeutic, Radiosurgery, Review