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儿童脑动静脉畸形复合手术应用探讨

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儿童脑动静脉畸形复合手术应用探讨

https://devfeature-collection.sl.nsw.gov.au/record/TN_cdi_wanfang_journals_xdsjjbzz202004011

儿童脑动静脉畸形复合手术应用探讨

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Full title

儿童脑动静脉畸形复合手术应用探讨

Author / Creator

曾高 , 崔德秋 , 李静伟 , 支兴龙 and 杜建新

Publisher

100053 北京,首都医科大学宣武医院神经外科中国国际神经科学研究所

Journal title

中国现代神经疾病杂志, 2020-04, Vol.20 (4), p.301-309

Language

Chinese

Formats

Articles

Publication information

Publisher

100053 北京,首都医科大学宣武医院神经外科中国国际神经科学研究所

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Scope and Contents

Contents

目的 探讨复合手术在儿童脑动静脉畸形治疗中的临床应用价值.方法 2015年12月至2019年12月经影像学(增强MRI、CTA、MRA或DSA)确诊的19例脑动静脉畸形患儿接受开颅手术联合血管内介入栓塞(复合手术)治疗,并于术中实时DSA确认畸形团切除范围,记录手术时间、术中出血量、住院时间和围手术期相关并发症;术后6个月采用改良Rankin量表(mRS)评价预后.结果 19例患儿Spetzler-Martin分级Ⅰ级2例、Ⅱ级5例、Ⅲ级7例、Ⅳ级5例;致密度分型为致密型4例、中间型4例、弥散型11例.平均手术时间(307.21±115.64) min,术中出血量150(100,260) ml.术中实时DSA显示3例畸形团残留,继续手术切除,影像学治愈率达100％(19/19).术后并发症包...

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Full title

儿童脑动静脉畸形复合手术应用探讨

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Record Identifier

TN_cdi_wanfang_journals_xdsjjbzz202004011

Permalink

https://devfeature-collection.sl.nsw.gov.au/record/TN_cdi_wanfang_journals_xdsjjbzz202004011

Other Identifiers

ISSN

1672-6731

DOI

10.3969/j.issn.1672-6731.2020.04.009

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