28例颈动脉海绵窦瘘血管内栓塞治疗的影像学研究  

Imaging Study of Carotid-Cavernous Fistula Treated with Endovascular Emholization(Analysls of 28 cases)

作　　者：崔世民 尹龙[1] 魏启明[1] 孙瑞发[1] 范一木[1] 黄盈[1] 陈俊华 焦德让[1] 李庆彬[1] 

机构地区：[1]天津脑系科医院神经放射科,天津脑系科医院神经外科

出　　处：《中华放射学杂志》1995年第5期307-311,共5页Chinese Journal of Radiology

摘　　要：报告２８例各型颈动脉海绵窦瘘血管内行可脱球囊或固体栓子栓塞治疗，其中９例经眼上静脉逆行插管栓塞海绵窦，均获成功。２５例有外伤史，１５例确定瘘口位置。海绵窦瘘分型：Ａ型：２３例；Ｂ型：１例；Ｃ型：２例；Ｄ型：１例；Ａ＋Ｃ型：１例。２５例海绵窦主要通过眼静脉引流，眼上静脉扩张平均值为０．７６ｃｍ，１３例有不同程度“偷流”现象。栓塞后造影，海绵窦和引流静脉消失。作者强调，血管造影是为各型瘘提供手术入路和愈后评价的客观依据，并对眼上静脉入路栓塞治疗的可行性进行了探讨。This article reported the imaging study of 28 cases with carotid cavernous fistula(CCF)treated with detachable balloon or Ivalon. In 9 cases,the superior opthalmic vein approach with retrograde cathetevization was employed successfully. 25 cases had history of previous trauma. In 15 cases,the location of fistula was identified.Classification of CCF was as follows. Type A:23 cases;type B:1 case;type C:2 cases;type D: 1 case and type A+C : 1 case.In 25 cases,superior opthalmic vein was the main draining vein,and dilated to an average diameter of 0. 76cm. 13 cases showed signs of steal. Angiography after emboiization showed that cavernous sinus and draining vein had disappeared.The authors emphasized that angiography is essential in providing informations re-gaiding the proper surgical approach for various types of fistula and in therapeutlc evaluation. The feasibility of superior opthalmic vein approach was also discussed.

关 键 词：血管造影术 颈动脉瘘 栓塞疗法 

分 类 号：R816.2[医药卫生—放射医学] R543.404[医药卫生—临床医学]