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累及横窦和乙状窦的硬脑膜动静脉瘘:28例患者的治疗结果

Dural fistulas involving the transverse and sigmoid sinuses: results of treatment in 28 patients.

作者信息

Halbach V V, Higashida R T, Hieshima G B, Goto K, Norman D, Newton T H

出版信息

Radiology. 1987 May;163(2):443-7. doi: 10.1148/radiology.163.2.3562824.

DOI:10.1148/radiology.163.2.3562824
PMID:3562824
Abstract

Twenty-eight symptomatic dural fistulas involving the transverse and sigmoid sinuses were treated between 1978 and 1986 with a variety of treatment modalities. Occipital artery compression therapy resulted in a complete cure in two of nine patients (22%) and improvement in three of nine (33%). There were no complications from this treatment. Patients who were excluded or in whom compression therapy failed were treated with embolization alone or in conjunction with surgery. Of the 17 patients who underwent embolization alone, ten were cured and six were improved. Six patients had a combination of embolization and surgery; four patients were cured and two improved. There were three complications in this series, one related to surgery and two related to embolization.

摘要

1978年至1986年间,采用多种治疗方式对28例累及横窦和乙状窦的有症状硬脑膜动静脉瘘进行了治疗。枕动脉压迫疗法使9例患者中的2例(22%)完全治愈,9例中的3例(33%)病情改善。该治疗无并发症发生。被排除在外或压迫疗法失败的患者接受了单纯栓塞治疗或栓塞联合手术治疗。在17例仅接受栓塞治疗的患者中,10例治愈,6例病情改善。6例患者接受了栓塞与手术联合治疗;4例治愈,2例病情改善。该组有3例并发症,1例与手术有关,2例与栓塞有关。

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