摘要目的 探讨颈段脊髓血管畸形的临床及影像学特征；研究血管内治疗的方法和效果。 方法 选择1991年1月至2000年6月收治的21例颈段脊髓血管畸形患者，分析其临床表现和血管造影特征，所有病例均行血管内栓塞治疗。 结果 其中3例于术后6个月～2年，因病灶巨大，行第2次治疗。栓塞材料选用真丝微粒或线段10例，NBCA胶3例，线段和NBCA胶联合应用8例。病灶闭塞90%以上7例，闭塞80%～90%8例，60%～80%4例，60%以下2例；临床症状改善15例，无变化5例，1例术后3个月死亡。 结论 血管内栓塞是颈段脊髓血管畸形有效的治疗方法。

abstractsObjectives To evaluate the clinical and radiologicalcharacteristic of vascular malformations of the cervical spinal cord, and to report the therapeutic effects of endovascular embolization. Methods Data from 21 patients (From January, 1991 to June 2000) with vascular malformation of the cervical spinal cord were analyzed retrospectively with an emphasis on the therapeutic methods. Results The 21 patients were treated by vascular embolization with silk partite and/or NBCA. Over 90% malformation was occluded in 7 patients,80%－90%, in 8, 60%－80% in 4, and less than 60% in 2. Symptomatic relief was seen in 15 patients, no change in 5 and 1 died 3 months after surgery. Conclusion Endovascular embolization is effective in the treatment of vascular malformation of cervical spinal cord.