带膜支架治疗外伤性颈动脉海绵窦瘘（附12例报告）  

Treatment of traumatic carotid cavernous fistulae with covered stents （ report of 12 cases ）

作　　者：黄昌仁[1] 谢晓东[2] 陈礼刚 彭俊[3] 

机构地区：[1]泸州医学院附属医院神经外科,646000 [2]四川大学华西医院神经外科 [3]泸州医学院附属中医院神经外科

出　　处：《中华神经外科杂志》2010年第3期220-222,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨带膜支架治疗外伤性颈动脉海绵窦瘘（TCCF）的方法、结果和特点。方法自2006年1月至2009年1月应用带膜支架治疗外伤性颈动脉海绵窦瘘患者12例，其中1例为双侧颈动脉海绵窦瘘，12例患者共置入13枚带膜支架。结果所有患者均用带膜支架成功治疗。术后立即造影显示所有瘘口消失，颈内动脉保持通畅。随访6个月至2年（平均14．2个月），均未见复发，颈内动脉保持通畅，没有狭窄或闭塞。结论带膜支架治疗TCCF方法简便，安全可靠，效果良好，是TCCF可供选择的一种治疗方法，但有其适应证和局限性。Objective To explore the methods, resuhs and characteristics of endovascular treatment of traumatic carotid cavernous fistulas（TCCFs） with covered stents. Method Clinical data of 12 patients with TCCFs treated with endovascular covered stents between January 2006 and January 2009 were retrospectively reviewed. One patient was bilateral TCCFs. 13 covered stents were implanted successfully. Results All TCCFs were successfully treated with covered stents. The postoperative angiogram revealed obliteration of all TCCFs, and all internal carotid arteries （ICAs） were fully patent. Follow - up study（ranged from 6 months to 2 years, mean 14. 2 months）showed that ICA patency was fully preserved without stenosis or occlusion in all patients. Conclusions Covered stents endovascular therapy is a convenient, safe and effective method for treatment of TCCF. It should be considered as an alternative method after careful preoperative evaluation of indication and limition.

关 键 词：颈动脉海绵窦瘘 支架 介入治疗 

分 类 号：R653[医药卫生—外科学]