血管内栓塞治疗114例创伤性头颈部血管病变

目的探讨血管内治疗创伤性头颈部血管病变的方法。方法以血管内栓塞方法治疗外伤性颈动脉海绵窦瘘（ＴＣＣＦ）１００例，假性动脉瘤（ＦＡ）１０例及动静脉瘘（ＡＶＦ）４例。７６例采用可脱球囊，１０例用钨丝微螺旋圈，９例为两者联合应用，１２例用弹簧圈，另７例分别用肌块和ＩＢＣＡ栓塞。结果１１４例均治愈，除１例遗轻偏瘫外，均无并发症。病灶完全栓塞１１１例（９７４％）。采用可脱球囊、钨丝螺旋圈或二者联合栓塞的８５例ＴＣＣＦ中，保持颈内动脉通畅７７例（９０６％）。经一次栓塞治愈者１００例（８７７％）。结论血管内栓塞治疗是头颈部创伤性血管损伤的首选治疗方法，可脱球囊和钨丝螺旋圈是目前较为理想的栓塞材料

The endovascular embolization in the therapy for traumatic vascular diseases in the head and neck.

Objective To approach to the endovascular treatment methods for traumatic vascular diseases in the head and neck. Methods One hundred cases with traumatic carotid cavernous fistulas (TCCF), 10 cases with false aneurysms(FA) and 4 cases with arteriovenous fistulas(AVF) in head and neck were treated using endovascular embolization.The operations were performed with the detachable balloons on 76 cases, with the tungsten microcoils on 10 cases, with both the balloons and the microcoils on 9 cases,with the spring coils on 12 cases and with the muscle mass and IBCA on 7 cases. Results All patients were cured. There were no nerovus system defects and complications except one patient with hemiplegia. The focuses were embolized completely in 111 cases (97.4%).There are 77 cases (90.5%) with internal carotid arteries unobsturcted among 85 cases which were treated by balloons or microcoils or by both of them. One hundred cases (87.8%) were cured by one time of operation. Conclusions It was suggested that endovascular embolization therapy was the first choice for traumatic vascular vascular damagesd in head and neck, and the detachable balloon and tungsten microcoil are the ideal embolic agents.