血管内栓塞外伤性颈动脉海绵窦瘘126例随访结果  

The follow-up results for traumatic carotid-cavernous fistulas treated with endovascular embolization in 126 cases

作　　者：郭元星[1] 李铁林[2] 欧陕兴[1] 段传志[2] 尹方明[2] 汪求精[2] 

机构地区：[1]广州军区广州总医院放射科,广州510010 [2]南方医科大学珠江医院神经外科,广州510282

出　　处：《中华神经医学杂志》2007年第10期1022-1024,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨血管内栓塞治疗外伤性颈动脉海绵窦瘘(TCCF)的近期及远期效果。方法139例TCCF患者行血管内栓塞术后3个月开始通过再次入院、邮寄调查表或电话随访,其中再次入院完成及收回调查表共64例,电话随访62例,获随访126例(90.6%)。结果126例中26例术后行MRA检查,20例行颅脑CT检查,均未见异常;10例术后半年行DSA复查,未见复发。11例复发,经再次栓塞后治愈。结论血管内栓塞治疗TCCF,术后复发率不高,临床随访即可。Objective To investigate the short-term and long-term outcomes of endovascular embolization for the treatment of traumatic carotid-cavernous fistulas （TCCFs）. Methods A total of 139 cases with TCCFs were followed up from the third moth after endovascular embolization through readmission to the hospital, mailing questionnaires or call. Sixty-four cases finished clinical questionnaires mailed or written during readmission, one questionnaire for each case, and 62 cases were tracked by call; in total, 126 cases （90.6%） were followed up. Results Among the 126 cases, magnetic resonance angiography （MRA） in 26 and computed tomography （CT） in 20 all found no abnormality; no recurrence was detected in the 10 cases rechecked by digital subtraction angiography （DSA） within the postoperative half a year. Eleven cases recurred, but were cured after re-embolization. Conclusion The recurrence rate of TCCF is not high after endovascular embolization, so clinical follow-up is enough to track the postoperative outcomes.

关 键 词：颅脑损伤 颈动脉海绵窦瘘 栓塞 随访 

分 类 号：R651.1[医药卫生—外科学]