数字减影脑血管造影对海绵窦瘘的诊断及其血管内治疗  

Digital subtraction angiography of cerebrum for diagnosis of cavernous sinus fistula and its intravascular treatment

作　　者：胡燕飞[1] 王仲均[1] 全伟[1] 陈胜利[1] 肖国才[1] 黄齐好[1] 

机构地区：[1]广州市第一人民医院眼科

出　　处：《中华眼科杂志》1999年第3期197-199,I012,共4页Chinese Journal of Ophthalmology

摘　　要：目的探讨全脑动脉数字减影血管造影（ｄｉｇｉｔａｌｓｕｂｔｒａｃｔｉｏｎａｎｇｉｏｇｒａｐｈｙ，ＤＳＡ）血管内治疗，对以搏动性眼球突出为主要表现的颈动脉海绵窦瘘（ｃａｒｏｔｉｄｃａｖｅｒｎｏｕｓｓｉｎｕｓｆｉｓｔｕｌａ，ＣＣＦ）的诊断及治疗价值。方法对１５例海绵窦瘘患者行ＤＳＡ，１２例行可脱性球囊、微螺圈血管内栓塞治疗。结果１５例中，１２例为高流量单侧颈内动脉型ＣＣＦ，３例为低流量单侧颈外动脉型ＣＣＦ。１１例ＣＣＦ患者经血管内栓塞治疗后症状和体征消退。结论ＤＳＡ检查和血管内治疗是ＣＣＦ理想的诊断与治疗方法。Objective To evaluate the diagnosis of digital subtraction angiography (DSA) of cerebral arteries and the intravascular treatment for carotid arterycavernous sinus fistula (CCF) mainly manifesting as pulsating exophthalmos. Methods Digital subtraction angiography (DSA) of cerebral arteries was carried out for 15 patients with pulsating exophthalmos. Of them, detectable balloon and tungsten filament microcoil were used for intravascular embolism treatment in 12 cases, and the 3 cases with CCF of the branch of external carotid artery were not treated. Results Of the 15 cases, 12 were fallen in the CCF of high flow type of unilateral internal carotid artery, and 3 in the CCF of low flow type of unilateral external carotid artery. The symptoms and signs of intravascular embolism disappeared after treatment in 11 cases. Conclusion Cerebral artery DSA and intravascular therapy are the ideal methods for the diagnosis and treatment of CCF mainly manifesting as pulsating exophthalmos.

关 键 词：突眼 海绵窦瘘 血管造影术 数字减影 DSA 

分 类 号：R771.104[医药卫生—眼科] R654.404[医药卫生—临床医学]