可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘  

Treatment of traumatic carotid cavernous fistulas using endovascular embolization with a detachable balloon

作　　者：钟伟 肖绍文[2] 

机构地区：[1]桂林市人民医院神经外科,桂林医学硕士541002 [2]广西医科大学第一附属医院神经外科,南宁530021

出　　处：《医学研究生学报》2014年第3期272-274,共3页Journal of Medical Postgraduates

摘　　要：目的外伤性颈内动脉海绵窦瘘(traumatic carotid cavernous fistula,TCCF)是一种少见的以眼部症状为突出表现的颅内血管病变,由于解剖结构上的特殊,自然愈合的概率很低,临床治疗尤为重要,文中探讨可脱性球囊血管内栓塞治疗TCCF的临床疗效。方法对37例采用股动脉入路可脱性球囊血管内栓塞治疗TCCF患者的临床资料进行回顾性分析。结果 37例TCCF患者共行39次血管内栓塞治疗。30例患者在成功地闭塞了瘘口的同时保持了颈内动脉的通畅;7例患者闭塞了瘘口的同时闭塞了颈内动脉。颈内动脉通畅率81%。结论可脱性球囊血管内栓塞治疗TCCF具有损伤小、安全可靠等优点,可作为TCCF的首选治疗方法。Objective Traumatic carotid cavernous fistula （TCCF） is a rare intracranial vascular lesion with eye symptoms as the main manifestation. TCCF has a low rate of natural healing due to its special anatomical structure, and therefore clinical treat-ment is particularly important. This study was to investigate the clinical effect of endovascular embolization with a detachable balloon in the treatment of TCCF. Methods We retrospectively analyzed 37 cases of TCCF treated through the femoral artery by endovascular embolization with a detachable balloon. Results Endovascular embolization were performed 39 times in the treatment of the 37 pa-tients. Successful occlusion of the fistula was achieved in all the patients, 30 （81%） with patency of the internal carotid artery, but the other 7 with it occluded. Conclusion Endovascular embolization with a detachable balloon, with its advantages of safety and minimal invasiveness, is a preferable method for the treatment of TCCF.

关 键 词：外伤性颈内动脉海绵窦瘘 可脱性球囊 血管栓塞治疗 

分 类 号：R651.12[医药卫生—外科学]