介入治疗颈动脉海绵窦瘘的疗效及围手术期管理分析  

Prognosis and perioperative management of interventional therapy in carotid-cavernous fistula

作　　者：闫保君[1] 谢春红[1] 韩新巍[1] 

机构地区：[1]郑州大学第一附属医院,450052

出　　处：《中华眼外伤职业眼病杂志》2015年第8期609-611,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析颈动脉海绵窦瘘（CCF）介入治疗的效果及围手术期管理要点。方法CCF39例，男30例，女9例。年龄16—67岁。主要体征和症状是搏动性眼球突出、球结膜充血水肿、眼球运动障碍和视力下降。介入治疗分别采取可脱球囊、弹簧圈、栓塞胶和覆膜支架等栓塞瘘口。围手术期采取强化眼部护理及康复治疗。结果36例（92．31％）一次封堵成功，3例（7．65％）复发后再次封堵成功（其中1例闭塞颈内动脉）。术后均恢复顺利，随访显示疗效可靠。结论介入方法封堵瘘口已成为治疗CCF的首选方法，创伤小、疗效好。同时强化围手术期眼部护理及康复有助于患者临床症状改善。Objective To analyze the interventional treatment for carotid-caverneous fistula and the key points of perioporative nursing. Methods Thirty-nine eases were enrolled in this study including 30 males and 9 females aged between 16-67 years old. The main signs and symptoms were pulsating protopsis, congestion and edema of bulbar conjunctiva, eye movement obstruction and vision decrease. Detachable balloon, coil, glue and covered stent were used to embolize the fistula. Local eye protection, nursing and rehabilitation were applied in all eases. Results Thirty-six cases （92.31% ） were embolized successfully in the first roll operation. Three cases （7.69%） recurred and were totally embolized in the second operation, and internal carotid artery was embolized in one recurrent ease during following procedures. Conclusion Interventional treatment is a quite effective and less invasive way for carotid-eaverneous fistula. Perioperative local eye protection and rehabilitative nursing can accelerate the remission of symptoms.

关 键 词：颈动脉海绵窦瘘 介入治疗 围手术期管理 

分 类 号：R543.4[医药卫生—心血管疾病]