颈内动脉海绵窦段动脉瘤10例临床诊治体会  

Cavernous sinus segment internal carotid cavemous artery aneurysms: Diagnosis and treatment experience in 10 cases

作　　者：杨士勇[1] 方兴根[1] 狄广福[1] 陈建民[1] 吴德刚[1] 裴士文 章暄 江晓春[1] 李真保[1] 

机构地区：[1]皖南医学院附属弋矶山医院神经外科,安徽芜湖241001

出　　处：《皖南医学院学报》2014年第1期43-46,共4页Journal of Wannan Medical College

摘　　要：目的：探讨颈内动脉海绵窦段动脉瘤的诊治方法。方法：对8例颈内动脉海绵窦段动脉瘤采用血管内治疗，2例内科保守治疗随访，分析其治疗效果。结果：术后血管造影8例患者中的10个动脉瘤显示：6个动脉瘤不显影，4个绝大部分不显影；2例患者中的2个动脉瘤无变化。随访1～22个月，8例临床症状较前明显好转，2例内科保守（未介入治疗者）无明显变化。结论：对于有症状的颈内动脉海绵窦段动脉瘤，通过完善的术前评估，采取个性化血管内治疗可以减轻、甚至解除患者的临床症状，达到治愈的疗效，是综合治疗海绵窦段动脉瘤的安全、有效及并发症少的重要方法之一。而对无症状或者轻微症状的小动脉瘤定期随访观察是安全的。Objective：To investigate the diagnosis and treatment approaches to internal carotid cavernous artery aneurysm of the segment （ICCAAns）. Methods：Of the total cases of ICCAAns,8 received endovascular intervention,and 2 were merely followed up,and the results were retrospectively ana-lyzed.Results：Postoperative angiography revealed no relapse in 6 aneurysms of the 10 in 8 patients,partial residual for the 4 aneurysms,and that 2 lesions remained unchanged.In a follow-up period of 1 to 22 months showed that 8 patients were significantly improved in clinical symptoms ,and another 2 under-gone mere expectant treatment had no change in aneurysm size .Conclusion：For symptomatic aneurysms of the cavernous segment ,individualized endovas-cular intervention may lead to partial or total relief of the clinical symptoms or even curative effects ,given that the patients were evaluated enough preopera-tively,and this is also the safer and general approach to treatment of the aneurysms.Contrarily,regular follow-up may be favorable to those whose aneurysms are asymptomatic or small in size .

关 键 词：海绵窦 动脉瘤 血管内治疗 

分 类 号：R739.4[医药卫生—肿瘤]