脑血管畸形急性出血外科治疗效果分析
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【摘要】目的研究脑动静脉畸形(AVM)急性出血的外科急诊手术治疗方法及效果。方法选择2006年5月~2011年3月笔者所在医院收治的经CT检查和MRA(磁共振血管造影)检查确诊为AVM并颅内血肿的74例患者，其中56例进行畸形血管切除手术和颅内血肿清除手术，12例仅进行血肿清除术，6例行去骨瓣减压术。结果术后，死亡8例，存活66例，存活患者按ADL评定法进行评定，其中Ⅰ、Ⅱ、Ⅲ、Ⅳ、Ⅴ级分别为28例、14例、14例、16例、2例。其中有效56例，有效率达75.68%。结论急诊显微外科手术是治疗AVM急性出血的首选方法，治愈率高，能有效促进患者术后功能恢复，降低致残率。
【关键词】脑血管畸形；急性出血；脑内血肿
The analysis of surgical treatment on acute hemorrhage of cerebral arteriovenous malformation XIE Zhi-min.Brains Hospital of Hunan Province,Changsha 410007,China
【Abstract】ObjectiveTo study the cerebral arteriovenous malformation (AVM) emergency surgery of acute bleeding in surgical treatment and results.MethodsFrom May 2006 to March 2011 by the author admitted to the hospital where the CT scan and MRA (magnetic resonance angiography) and AVM diagnosed 74 patients with intracranial hematoma, of which 56 patients were abnormal blood vessels and cranial surgery hematoma removal surgery,12 patients with only carried hematoma,6 underwent decompressive craniectomy.Results8 patients died,66 cases survived,survival patients were assessed by ADL assessment method,which Ⅰ,Ⅱ,Ⅲ,Ⅳ,Ⅴ grade were 28 cases,14 cases,14 cases,16 cases,2 cases ......
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