脊柱脊髓血管畸形的新型改良分类
北京市脑血管病中心 首都医科大学宣武医院神经外科 (100053)
【摘要】目的：对本组治疗的脊柱脊髓动静脉畸形进行全面总结，完善和改进脊柱脊髓血管畸形的分类标准，提出新型改良分类。资料和方法：自1986年至2003年3月期间，共收治了脊柱脊髓血管畸形549例。根据影像学资料、临床资料，分析病变的解剖部位、血管构筑、病理生理特点，结合文献中各种分类的优缺点，对我组以往的分类标准进行改进和补充。所有病例按照新的分类标准进行划分。
结果：新型分类可覆盖本组所有疾患，并且没有重叠。结论：本分类系统是建立在对549例脊柱脊髓血管畸形病例的影像学、和临床特点分析的基础上，能较全面的反映这一疾患的解剖部位、血管构筑、病理生理特点，不仅涵盖了本组的所有病种，并且包括了文献中所提到的所有亚型。与以往分类有所不同的在于(1)新型分类将脊髓动静脉畸形分为髓内型、髓周型、髓内-髓周型三个亚型；(2)首次将椎管内硬膜外动静脉畸形纳入分类系统；(3)并将椎旁血管畸形按照引流方式的不同进行分型。
【关键词】脊柱 脊髓 血管畸形 动静脉畸形 动静脉瘘
A new modified classification of spinal vascular malformations
LING Feng
【Abstract】Objective: To propose a new modified classification of spinal vascular malformations. Material and Methods: Since 1986 to March 2003, we had treated 549 cases of spinal vascular malformations. The imaging and clinical data were reviewed. The anatomy, angioarchitechture and pathophysiology were carefully analyzed. The previous classification, we have published in 1996, was modified. Results: The new classification includes all spinal vascular lesions in our group. Conclusions: The new modified classification offers several advantages: 1) it includes all the spinal vascular lesions, and nomenclatural terms are definite. 2) It emphasizes the target of treatment in its category. 3) It reveals the characters of spinal vascular malformations, based on neuroanatomy, pathophysiology, angiographic and intraoperative observation.
【Key words】Spine, spinal cord, vascular malformation, arteriovenous malformation, arteriovenous fistula, 百拇医药(凌锋)
【摘要】目的：对本组治疗的脊柱脊髓动静脉畸形进行全面总结，完善和改进脊柱脊髓血管畸形的分类标准，提出新型改良分类。资料和方法：自1986年至2003年3月期间，共收治了脊柱脊髓血管畸形549例。根据影像学资料、临床资料，分析病变的解剖部位、血管构筑、病理生理特点，结合文献中各种分类的优缺点，对我组以往的分类标准进行改进和补充。所有病例按照新的分类标准进行划分。
结果：新型分类可覆盖本组所有疾患，并且没有重叠。结论：本分类系统是建立在对549例脊柱脊髓血管畸形病例的影像学、和临床特点分析的基础上，能较全面的反映这一疾患的解剖部位、血管构筑、病理生理特点，不仅涵盖了本组的所有病种，并且包括了文献中所提到的所有亚型。与以往分类有所不同的在于(1)新型分类将脊髓动静脉畸形分为髓内型、髓周型、髓内-髓周型三个亚型；(2)首次将椎管内硬膜外动静脉畸形纳入分类系统；(3)并将椎旁血管畸形按照引流方式的不同进行分型。
【关键词】脊柱 脊髓 血管畸形 动静脉畸形 动静脉瘘
A new modified classification of spinal vascular malformations
LING Feng
【Abstract】Objective: To propose a new modified classification of spinal vascular malformations. Material and Methods: Since 1986 to March 2003, we had treated 549 cases of spinal vascular malformations. The imaging and clinical data were reviewed. The anatomy, angioarchitechture and pathophysiology were carefully analyzed. The previous classification, we have published in 1996, was modified. Results: The new classification includes all spinal vascular lesions in our group. Conclusions: The new modified classification offers several advantages: 1) it includes all the spinal vascular lesions, and nomenclatural terms are definite. 2) It emphasizes the target of treatment in its category. 3) It reveals the characters of spinal vascular malformations, based on neuroanatomy, pathophysiology, angiographic and intraoperative observation.
【Key words】Spine, spinal cord, vascular malformation, arteriovenous malformation, arteriovenous fistula, 百拇医药(凌锋)