外伤性颈内动脉海绵窦瘘可脱性球囊栓塞术后复发的影响因素分析  

Risk factors for postoperative recurrence of patients with traumatic internal carotid cavernous fistula after detachable balloon embolization

作　　者：叶国辉[1] 潘思源 秦杰 赵曰圆 秦海林 潘力 马廉亭 杨铭 YE Guo-hui;PAN Si-yuan;QIN Jie;ZHAO Yue-yuan;QIN Hai-lin;PAN Li;MA LIan-ting;YANG Ming(Graduate School,Southern Medical University,Guangzhou 510515,China;Department of Neurosurgery,General Hospital of Central Theater Command,Wuhan 430070,China)

机构地区：[1]南方医科大学研究生院,广州510515 [2]中国人民解放军中部战区总医院神经外科,武汉430070

出　　处：《中国临床神经外科杂志》2021年第4期254-257,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨外伤性颈内动脉海绵窦瘘(TCCF)可脱性球囊栓塞术后复发的影响因素。方法回顾性分析2011年10月至2020年10月采用可脱性球囊栓塞治疗的49例TCCF的临床资料。术后随访3~96个月,平均(18.57±20.89)个月。结果49例中,术后复发8例,复发率为16.3%;复发时间在术后2~18 d。多因素logistic回归分析显示瘘口在颈内动脉弯曲段是术后复发的独立危险因素(OR=12.93,95%CI 1.83~91.46;P=0.010)。结论TCCF可脱性球囊栓塞术后存在复发可能。瘘口位于颈内动脉弯曲段的病人在选择治疗方案时,需审慎,术后需更为密切的随访。Objective To analyze the risk factors for the postoperatiive recurrence of patients with traumatic carotid cavernous fistula(TCCF)after detachable balloon embolization(DBM).Methods The clinical data of 49 TCCF patients treated with DBM from October 2011 to October 2020 were retrospectively analyzed.The follow-up ranged from 3 to 96 months,with a mean time of(18.57±20.89)moths.Results The postoperative recurrence ocurred in 8 patients(16.3%),and the recurrence time was 2~18 days after DBM.Multivariate logistic analysis showed that the orificium fistulae locating the curved segment of internal carotid artery was an independent risk factor for the recurrence of TCCF after the DBM(OR=12.93,95%CI 1.83~91.46;P=0.010).Conclusions TCCF has the risk of recurrence after DBM.TCCF patients with fistulas locating in the curved segment of internal carotid artery should be cautious when choosing the treatment plan,and should be followed up more closely after the operation.

关 键 词：外伤性颈动脉海绵窦瘘 血管内栓塞 可脱性球囊 复发 危险因素 

分 类 号：R743[医药卫生—神经病学与精神病学] R815.2[医药卫生—临床医学]