本文選題：腦動靜脈畸形 + 顯微外科�。� 參考：《寧夏醫(yī)科大學》2017年碩士論文

【摘要】：目的:通過回顧36例腦動靜脈畸形患者的臨床資料,分析影響神經(jīng)外科顯微手術(shù)治療腦動靜脈畸形預(yù)后的相關(guān)因素。方法:回顧性分析2007年5月至2016年5月在我院神經(jīng)外科住院行顯微手術(shù)治療的36例腦動靜脈畸形患者,整理患者性別、年齡、出血量、病灶是否在功能區(qū)、有無引流靜脈、病灶大小及S-M(Spetzler-Martin)分級及出院后6個月的GOS(Glasgow Outcome Scale)評分。應(yīng)用單因素及Logistics多因素分析方法,篩選出對腦動靜脈畸形顯微外科治療預(yù)后有影響的相關(guān)因素。結(jié)果:單因素分析提示深部引流靜脈、位于功能區(qū)、病灶大小、S-M分級與預(yù)后有關(guān)。多因素分析提示病灶位置、大小及S-M分級是影響腦動靜脈畸形顯微外科治療預(yù)后的獨立危險因素。結(jié)論:顯微外科手術(shù)是治療腦動靜脈畸形的重要方法,病灶全切率高,且有助于預(yù)防二次出血、提高患者生存質(zhì)量。CTA、MRI及DSA可對AVM做出明確診斷,有助于術(shù)中定位,提高病灶全切率,減少術(shù)中出血及周圍腦組織損傷等。S-M分級、病灶位置及畸形團大小均是影響顯微外科手術(shù)治療腦動靜脈畸形患者預(yù)后的重要因素。對于S-M分級不同的患者,應(yīng)根據(jù)具體情況,采取不同方法進行治療。
[Abstract]:Objective: To review 36 cases of cerebral venous malformation in patients with clinical data, analysis of related factors affecting the prognosis of venous malformation microsurgery for cerebral Department of neurosurgery. Methods: a retrospective analysis from May 2007 to May 2016 hospitalized for microsurgery in 36 cases of patients with brain arteriovenous malformation in our hospital department of Neurosurgery, finishing with sex, age, the amount of bleeding whether, lesions in functional areas, there is no venous drainage, lesion size and S-M (Spetzler-Martin) GOS 6 months after discharge and grading (Glasgow Outcome Scale) score. Analysis by the single factor method and Logistics regression, to screen the related factors of cerebral venous malformation of microsurgical treatment and prognosis. Results: single factor analysis showed that deep venous drainage, located in functional areas, the size of the lesions, the S-M grading and prognosis. Multivariate analysis showed that lesion location, size and grade of S-M is brain movement Independent prognostic factors for AVM microsurgery. Conclusion: microsurgery is an important method for dynamic treatment of cerebral venous malformation, total lesion resection rate is high, and can help prevent two bleeding, improve the quality of life of patients with.CTA, MRI and DSA can make a definite diagnosis of AVM, contribute to the intraoperative positioning to improve the rate of total resection of lesions, reduce.S-M hemorrhage and surrounding brain tissue injury and other surgical classification, lesion location and malformation were important factors influencing the prognosis of patients with venous malformation microsurgery for cerebral S-M classification. For different patients, should according to the specific circumstances, adopt different methods of treatment.

【學位授予單位】：寧夏醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R651.12

【參考文獻】

相關(guān)期刊論文 前10條

1 邱修輝;李光標;羅毅;陳光忠;;腦動靜脈畸形的影像學特點及Onyx與Glubran2膠栓塞治療比較分析[J];浙江臨床醫(yī)學;2016年06期

2 張杰;葉賢旺;黃求理;騰飛;;腦動靜脈畸形4D-CTA與DSA對照分析[J];實用放射學雜志;2015年07期

3 胡觀成;鄒安琪;劉小健;屈家虎;;影響腦動靜脈畸形顯微手術(shù)療效的臨床因素分析[J];中華神經(jīng)醫(yī)學雜志;2012年09期

4 葛雅麗;葛雪松;田欣;鄭敏文;趙海濤;徐俊卿;劉瑩;任靜;馬婉玲;齊順;宦怡;;磁共振磁敏感成像技術(shù)在腦部血管畸形中的應(yīng)用優(yōu)勢[J];實用放射學雜志;2008年11期

5 杜浩;馬廉亭;吳佐泉;;腦動靜脈畸形血管內(nèi)液體栓塞材料的研究進展(一)[J];中國臨床神經(jīng)外科雜志;2008年05期

6 孫奉剛;許學明;樊慶勝;孫筱璐;;氰基丙烯酸正丁酯血管內(nèi)栓塞治療腦動靜脈畸形[J];山西醫(yī)藥雜志;2007年12期

7 杜浩;馬廉亭;吳佐泉;;血管內(nèi)顆粒栓塞材料的研究進展[J];中國臨床神經(jīng)外科雜志;2007年06期

8 胡再虎;萬經(jīng)海;李長元;馮春國;王曉健;;α-氰基丙烯酸正丁酯血管內(nèi)栓塞腦動靜脈畸形的臨床療效分析[J];中國腦血管病雜志;2007年02期

9 趙繼宗,王碩,隋大立,李京生,張巖,李健;2086例腦動靜脈畸形臨床特征和手術(shù)治療結(jié)果分析[J];中華神經(jīng)外科雜志;2004年02期

10 萬杰清,李善泉,熊文浩,鄭彥,潘耀華,羅其中;NBCA膠栓塞治療腦動靜脈畸形[J];上海第二醫(yī)科大學學報;2003年03期

，

本文編號：1751793