颈动脉海绵窦瘘的血管内栓塞治疗  

Intravascularbaloonocclusionofcarotidcavernousfistula

作　　者：刘作勤[1] 唐军[1] 孔华富[1] 王志刚[2] 王振亭[1] 李国新[2] 康永军[1] 王学庆[2] 黎文镇 刘延军[1] 宋玉瑄[2] 

机构地区：[1]山东省医学影像学研究所介入室 [2]山东省立医院神经外科

出　　处：《中华放射学杂志》1996年第9期599-602,共4页Chinese Journal of Radiology

摘　　要：目的：进一步探讨颈动脉海绵窦瘘的血管内介入治疗方法。材料与方法：回顾性研究了１９９２年４月至１９９５年１０月用可脱性球囊技术栓塞治疗颈动脉海绵窦瘘４２例。其中有外伤史者３９例，自发性者３例；４１例球囊充填材料采用浓度为１８０ｍｇＩ／ｍｌ水溶性非离子型造影剂，１例用甲基丙烯酸－２－羟基乙酯（ＨＥＭＡ）。全部病例在神经安定麻醉及全身肝素化下完成。结果：既闭塞瘘口，又保持颈内动脉通畅者３６例，占８５．７％；闭塞颈内动脉及其瘘口部者６例。全部病例随访观察２个月以上，均无瘘口再通。结论：可脱性球囊栓塞是治疗颈动脉海绵窦瘘最理想的首选方法。Purpose:Furtherinvestigationofintravasculartreatmentofcarotidcavernousfistula(CCF).Materialsandmethods:Retrospectiveanalysisoftheclinical,angiographicstudyanden-dovasculartreatmentwithdetachablebaloonin39traumaticCCFand3spontaneousCCFbetween1992and1995wereunderwent.Thedetachablebaloonwasfiledwithnonioniccontrastmedia180mgI/mlin41casesandHEMAin1case.Alpatientswereheparinizedandondiazepamseda-tionduringtheoperation.Results:Thirty-sixfistulaswereoccludedwithpatencyoftheinternalcarotid(85.7%),6casesweretreatedwithcontemporaryocclusionofthecarotid.Norecanalizationofthefistulawasfoundinalpatientsin2monthfolow-up.Conclusion:Intravascularoclusionus-ingdetachablebaloonisthemethodofchoiceinthetreatmentofCCF.Carefulmanipulationcanmaketheprocedureasafeandreliabletherapy.

关 键 词：颈动脉疾病 动静脉瘘 栓塞术 

分 类 号：R543.405[医药卫生—心血管疾病]