侧颅底硬脑膜动静脉瘘的特点及治疗

doi:10.6040/j.issn.1673-3770.0.2024.415

摘要/Abstract

摘要： 侧颅底硬脑膜动静脉瘘(dural arteriovenous fistula, DAVF)作为一类罕见的颅内血管畸形,其独特的解剖位置与复杂的血流动力学特性,使得其临床表现多样且治疗难度较高。本研究通过回顾性分析近年来国内外关于侧颅底DAVF的文献报道及临床案例,系统总结该疾病在影像学表现、血流动力学变化、临床症状等方面的特点。在此基础上,探讨包括血管内介入治疗的适应症、操作技巧及疗效评估,旨在为临床决策提供科学依据,也为未来侧颅底DAVF的基础研究与临床治疗创新提供思路与方向。

关键词: 侧颅底, 硬脑膜动静脉瘘, 栓塞术, 颅内血管畸形, 血流动力学

Abstract: As a rare type of intracranial vascular malformation, lateral skull base dural arteriovenous fistula(DAVF)has a unique anatomical location and complex hemodynamic characteristics, which makes its clinical manifestations diverse and its treatment difficult. In this study, we retrospectively analyzed the literature reports and clinical cases of lateral skull base DAVF at home and abroad in recent years, and systematically summarized the characteristics of this disease in terms of imaging manifestations, hemodynamic changes, clinical symptoms, and other aspects. On this basis, the indications, operation techniques and efficacy assessment of endovascular intervention were discussed, aiming to provide a scientific basis for clinical decision-making. It also provides ideas and directions for future basic research and clinical treatment innovation of lateral skull base DAVF.

Key words: Lateral skull base, Dural arteriovenous fistulae, Embolization, Intracranial vascular malformation, Hemodynamics

中图分类号:

R651.12

朝博,苏优勒,郭若宇,付嘉越,吕宪利. 侧颅底硬脑膜动静脉瘘的特点及治疗[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 1-7.

CHAO Bo, SU Youle, GUO Ruoyu, FU Jiayue, LYU Xianli. Features and treatment of lateral skull base dural arteriovenous fistulae[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 1-7.

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