外伤性颈内动脉海绵窦瘘的血管内栓塞治疗：20例回顾性病例系列研究  

Endovascular embolization for traumatic carotid cavernous fistula： a retrospective case series study of 20 cases

作　　者：陈光贵[1] 罗来兵[1] 马术强 魏巍[1] 李春国[1] 

机构地区：[1]安徽医科大学附属六安医院,六安市人民医院神经外科,六安237005

出　　处：《国际脑血管病杂志》2016年第10期913-917,共5页International Journal of Cerebrovascular Diseases

摘　　要：目的评价血管内栓塞治疗外伤性颈内动脉海绵窦瘘（traumaticcarotid—cavernous fistula，TCCF）的临床效果。方法20例TCCF患者，10例采用可脱性球囊栓塞，4例采用可脱性球囊结合弹簧圈栓塞，2例采用单纯弹簧圈栓塞，3例采用弹簧圈结合Onyx胶栓塞，1例采用覆膜支架置入术。其中，有2例因球囊早泄而再次栓塞。结果20例患者一次性栓塞成功18例，二次栓塞成功2例。颈内动脉通畅率100％，未发生手术相关并发症。结论血管内栓塞是治疗TCCF的一种简单、安全和疗效可靠的方法。Objective To evaluate the clinical effect of endovascular embolization for traumatic carotid cavernous fistula （TCCF）. Methods In 20 patients with TCCF, 10 were treated with the detachable balloon embotization, 4 were treated with the detachable balloon embolization and coils, 2 were treated with coils alone, 3 were treated with coils and Onyx, and 1 was treated with covered stenting. Two of them were embolized again because of leaking balloon. Results Eighteen of the 20 patients were embolizeded successfully once, 2 were embolizeded successfully twice. The patency rate of internal carotid artery was 100%. No operation-related complications occurred. Conclusions Endovascular embolization is a simply, safe and reliable method of curative effect for the treatment of TCCF.

关 键 词：颈动脉海绵窦瘘 颅脑损伤 栓塞 治疗性 血管内手术 治疗结果 

分 类 号：R651.1[医药卫生—外科学]