颈动脉海绵窦瘘的治疗  

The Treatment of Carotid-Cavernous Fistula

作　　者：段传志[1] 李铁林[1] 张世忠[1] 陈长才[1] 蒋霓[2] 杨健明 全显跃[2] 刘荣忠[2] 

机构地区：[1]广州第一军医大学珠江医院神经外科,510282 [2]广州第一军医大学珠江医院放射科,510282

出　　处：《影像诊断与介入放射学》1996年第2期83-85,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：本文报告30例颈动脉海绵窦瘘治疗方法。其中外伤性25例,自发性5例,前者均行可脱性球囊、微弹簧圈等血管内栓塞治疗,颈内动脉通畅率为85％,血管杂音、球结膜水肿、充血、突眼完全消失。自发性颈内动脉海绵窦瘘,可用保守疗法,但较重的或保守治疗失败者,常需要血管内栓塞治疗。本文对各种疗法做了讨论及评价。30 patients of Carotid-cavernous fistula (CCF) were treated in our hospital, in which 5 were spontaneous CCF(SCCF) and 25 patients were traumatic CCF (TCCF). The former was managed through endovascular embolization with balloon, microcoil, carotid flow preserved in 85 %, proptosis, bruit and chemosis disappared in all successful patients. For SCCF, we may use conservative treatment, but for the patients with severe symptom of failed conservative treatment, endovasular embolization should be performed. In our article, every therapy were discussed and estimated.

关 键 词：颈动脉海绵窦瘘 栓塞 治疗 外科手术 

分 类 号：R653.05[医药卫生—外科学]