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可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘
引用本文:钟朋彪,任安洲,程树来,冯子泽,谭华沧. 可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘[J]. 河北医学, 2009, 15(7): 779-781
作者姓名:钟朋彪  任安洲  程树来  冯子泽  谭华沧
作者单位:广东省江门市新会人民医院,广东江门,529100;广东省江门市新会人民医院,广东江门,529100;广东省江门市新会人民医院,广东江门,529100;广东省江门市新会人民医院,广东江门,529100;广东省江门市新会人民医院,广东江门,529100
摘    要:目的:探讨可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘的临床意义。方法:应用可脱性球囊经动脉途径栓塞治疗21例颈内动脉海绵窦瘘。结果:21例患者中,瘘口栓塞17例,闭塞颈内动脉4例,均治愈。其中瘘口栓塞后1例并发球囊早泄瘘口复发,经再次球囊栓塞成功。颈内动脉通畅率为80.9%。随访3-6个月未见复发。结论:可脱性球囊栓塞术是治疗外伤性颈内动脉海绵窦瘘的首选术式。

关 键 词:颈动脉海绵窦瘘  可脱性球囊  栓塞

Embolization Treatment with Detachable Balloon for Traumatic Carotid Cavernous Fistula
Affiliation:ZHONG Peng - biao, REN An - zhou, CHENG Shu - lai, et al ( Xinhui People's Hospital, Guangdong Jiangmen 529100, China)
Abstract:Objective: To find out the clinical significance of embolization with detachable balloon in the treatment of traumatic carotid cavernous fistula (CCF). Method: Of 21 patients with traumatic carotid cavernous fistulas(TCCF) were treated by transarterid embolization with detachable balloon. Result: All the patients were cured. Once successful embolization in 20 cases and twice in 1 cases. Internal carotid arteries of 17cases (80.9%) were preserved, and 4 cases were treated with occlusion of the internal carotid arteries. None of the CCF reoccurred following - up from 3 months to 6 months. Conclusion : Embolization by detachable balloon has become the most effective method for the treatment of carotid cavernous fistula.
Keywords:Carotid - cavernous fistula  Detachable balloon  Embolization
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