经眼上静脉途径行导管栓塞治疗颈动脉－海绵窦瘘  

Superior ophthalamic vein approach for embolization of carotid cavernous fistulae

作　　者：尹龙[1] 黄楹[1] 孙瑞发[1] 卫启明[1] 崔世民[1] 只达石[1] 焦德让[1] 

机构地区：[1]天津脑系科医院,天津医学院第二附属医院神经外科

出　　处：《中华神经外科杂志》1995年第4期191-194,共4页Chinese Journal of Neurosurgery

摘　　要：约７０％～８０％的颈动脉－海绵窦瘘（ＣＣＦ）伴有限上静脉（ＳＯＶ）的显著扩张，通过扩张的ＳＯＶ可将导管插入海绵窦栓塞ＣＣＦ，同时又不影响同侧颈动脉的供血。本文总结了１２例经ＳＯＶ途径治疗的ＣＣＦ，效果满意。据Ｂａｒｒｏｗ的ＣＣＦ分类，本组中Ａ型９例，Ｃ、Ｄ和Ａ＋Ｃ型各１例。所有病人均有患侧ＳＯＶ的显著扩张，其直径在７～１２ｍｍ间。文章还讨论了ＳＯＶ入路的条件和优点。Abstract patients of CCF were treated by embolization through SOV approach and all were cured through the ipsolateral SOV. According to Barrow's CCF classification, 9 of them were type A, the rest 3 were of type C, D and A+C, one for each. All ipsilateral SOVs were markedly dilated, with diameter 7-12mm. The SOV as the main draining vein was seen in 2 cases, multiple drainage was seen in the rest 10 cases. For type A CCF, SOV route is much safer than the endoarterial route, which sometimes would cause ICA obliteration. For type B, C, D CCF: endoarterial route generally could not make the balloon through the small fistula into the CS while the SOV route could made it.

关 键 词：颈动脉 海绵窦瘘 栓塞疗法 眼上静脉栓塞 

分 类 号：R653[医药卫生—外科学]