创伤性颈动脉海绵窦瘘的血管内栓塞治疗  

ENDOVASCULAR EMBOLOTHERAPY OF TRAUMATIC CAROTID-CAVERNOUS FISTULA

作　　者：张占普[1] 武文元[1] 刘海波[1] 马庆海[1] 窦长武[1] 富春雨[1] 高坤[1] 贾广志[2] 李建民[2] 

机构地区：[1]内蒙古医学院附属医院神经外科,内蒙古呼和浩特010050 [2]内蒙古医学院附属医院介入科

出　　处：《内蒙古医学院学报》2007年第2期97-99,共3页Acta Academiae Medicinae Neimongol

基　　金：内蒙古自治区自然科学基金项目(20020802613)

摘　　要：目的:探讨创伤性颈动脉海绵窦瘘血管内栓塞治疗的方法及效果。方法:20例病人,栓塞治疗23次。在局麻或全麻下,采用股动脉入路,用可脱性球囊栓塞17例,微弹簧圈栓塞2例,可脱性球囊及微弹簧圈栓塞1例,因球囊泄漏而再栓塞2例。结果:20例病人一次栓塞成功17例,二次栓塞成功3例。颈内动脉通畅率80%(16/20)。经随访,无并发症及死亡病例发生。结论:创伤性颈动脉海绵窦瘘经血管内栓塞治疗,是一种安全、可靠的治疗方法。Objective：To estimate the method and effects of endovascular embolotherapy on traumatic carotid -cavernous fistula（TCCF）. Methods.23 procedures of embolotherapy were performed in 20 cases with TCCF. Under local or general anesthesia and using femoral artery route , 17 cases were pegged with balloons, and 2 cases were pegged with micro - coils, balloons and micro - coils were used in 1 case, and 2 cases were pegged in second attempt because of leaking ballons. Results. 17 cases were pagged successfully at the first time, and 3 cases were pagged successfully for twice. The rate of internal carotid artery patency was 80% （16/20）. There was no complication and none died during follow - up. Conclusion. It is a safe and reliable method of endovascular embolotherapy on TCCF.

关 键 词：创伤 颈动脉海绵窦痿 血管内栓塞治疗 

分 类 号：R543.4[医药卫生—心血管疾病]