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首页> 外文期刊>British journal of neurosurgery >Combined radiological and surgical management of spinal dural fistulas
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Combined radiological and surgical management of spinal dural fistulas

机译：脊柱硬膜瘘的放射学和外科综合治疗

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Introduction. Spinal Dural Fistulas (SDAVF) are the most common Spinal Vascular Malformation. The management of SDAVFs involves diagnosis and localisation with MRI and spinal angiography and subsequent embolisation or surgical interruption. We report our experience in treating these fistulas in which we undertake endovascular treatment, if technically feasible, with recourse to surgery only if occlusion is not possible. Method. This retrospective study reviews the management of 38 patients treated for SDAVFs over a 13-year period (1997 - 2010). Patient demographics, procedure and follow-up over a 6-12-month period (mean of approximately 10 months) were analysed and a qualitative assessment of patient outcome was made. Results. Patient ages ranged from 20 to 86 (mean 63.5), with 27 male and 11 female patients. A total of 28 patients managed with a combination of embolisation and surgery report either with improved symptoms or a return to normal. The presence of bladder and bowel symptoms indicated more severe disability and their presence at presentation was associated with lack of improvement following treatment. Conclusions. We report a treatment strategy for SDAVF involving primary endovascular intervention and reserving surgery for those patients in whom endovascular treatment is not possible.
机译：介绍。脊柱硬膜瘘（SDAVF）是最常见的脊柱血管畸形。 SDAVF的管理涉及MRI和脊柱血管造影的诊断和定位，以及随后的栓塞或手术中断。我们报告我们在治疗这些瘘管方面的经验，如果技术上可行，我们将在这些瘘管内进行血管内治疗，仅在不可能闭塞的情况下才可通过手术进行。方法。这项回顾性研究回顾了在13年间（1997年至2010年）治疗SDAVF的38例患者的治疗情况。分析了6-12个月（平均约10个月）内的患者人口统计资料，程序和随访情况，并对患者预后进行了定性评估。结果。患者年龄为20至86岁（平均63.5岁），其中男27例，女11例。共有28例接受栓塞和手术治疗的患者报告症状改善或恢复了正常。膀胱和肠症状的存在表明更严重的残疾，并且他们的出现与治疗后缺乏改善有关。结论我们报告了SDAVF的治疗策略，其中包括那些无法进行血管内治疗的患者的主要血管内干预和保留手术。

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