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洞穴鼻腔长期动脉静脉:一个单一的中心经验

Che Jiang¹, Yuhang Zhang¹, Guoli Duan²

¹Department of Neurovascular Center, Changhai Hospital Affiliated to the Naval Medical University, Changhai Road 168, Shanghai 200433, China; Department of Neurosurgery, General Hospital of Southern Theater Command, 111 Liuhua Road, Guangzhou, Guangdong 510010, China.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

|October 24, 2025

概括

与非向方法相比,针对中国患者洞穴鼻腔硬性动脉静脉 (CSDAVF) 的栓治疗减少了栓塞物质的使用,改善了神经病症的解决方案,保持了高的闭塞率.

科学领域:

神经干预放射学神经干预放射学
血管神经外科手术血管神经外科
脑血管疾病是脑血管疾病.

背景情况:

洞穴鼻腔硬性动脉静脉 (CSDAVF) 在管理方面提出了独特的挑战.
评估内血管治疗策略对于优化患者治疗结果至关重要.
中国人口数据为CSDAVF的特点提供了具体的见解.

研究的目的:

总结一下中国人口中的CSDAVF特征.
为了比较转静脉血注射 (TE) 与非血注射 (NTE) 的疗效和安全性.
调查对神经病变 (CNP) 和程序结果的影响.

主要方法:

连续92名CSDAVF患者进行静脉输血栓塞的回顾性审查 (2000年10月至2022年10月).
定义TE作为选择性消灭;NTE作为整个洞穴鼻闭塞.
系统地比较了TE和NTE组之间的程序参数,血管检查结果,CNP解析和并发症.

主要成果:

通过静脉栓塞的总体技术成功率为89.1%.
TE所需的栓塞剂体积要比NTE少得多.
TE在出院和随访时表现出更高的CNP分辨率,并具有可比的闭塞率.

结论:

有针对性的栓塞精确地阻断了分流,减少了栓塞物质和潜在的并发症.
这一战略保持了CSDAVF的高完全封闭率.
TE是一种潜在的更安全和更有效的方法,特别是在特定的CSDAVF类型.

关键词:

洞穴性鼻腔 (cavernous sinus) 是一个洞穴性鼻腔.长期的动脉静脉囊.有针对性的栓塞.这是一种跨静脉的方法.

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