可脱性球囊介入治疗外伤性颈内动脉海绵窦瘘  

Embolization treatment with detachable balloon for traumatic internal carotid cavernous fistulas

作　　者：孙树清[1] 季艳琴[1] 贲智进[1] 陈建[1] 陈燕[1] 孙美琴[1] 

机构地区：[1]南通大学附属医院神经外科,江苏南通226001

出　　处：《中华神经外科疾病研究杂志》2009年第3期256-259,共4页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的探讨外伤性颈内动脉海绵窦瘘的临床特征及应用可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘的血管内介入治疗技术。方法10例外伤性颈内动脉海绵窦瘘患者常规行脑血管造影检查明确诊断,应用法国Balt公司产Magic-BDTE可脱性球囊,在数字减影监视下,施行可脱性球囊栓塞治疗。结果1次栓塞成功7例,2次栓塞成功2例,因并发症鼻腔出血死亡1例。结论可脱性球囊栓塞治疗是目前治疗外伤性颈内动脉海绵窦瘘的最好方法,其具有损伤小,安全性高和疗效可靠的特点。Objective To evaluate clinical characteristics of traumatic internal carotid cavernous fistulas and embolization treatment technique for traumatic internal carotid cavernous fistulas （TCCF）. Methods Magic-BD TE balloon catheters and labeled latex balloon were used for the embolization treatment of 10 cases of TCCF under DSA monitoring. Results Of 9 cases embolized successfully, there were 7 cases of embolization for once and 2 cases for twice and there was one death case because of bleeding. Conclusion Embolization therapy is an optimal choice for TCCF because of its micro-invasiveness and therapeutic effect.

关 键 词：外伤性颈内动脉海绵窦瘘 可脱性球囊 栓塞治疗 

分 类 号：R651.12[医药卫生—外科学]