外伤性颈内动脉海绵窦瘘球囊封堵术140例

目的观察球囊栓塞治疗外伤性颈内动脉海绵窦瘘的临床效果。方法经股动脉穿刺入路,将造影导管送入颈动脉进行血管造影明确诊断后,再将同轴微导管超选入瘘口内,将可脱球囊充盈脱下栓塞瘘口,达到治愈目的。结果本组140例病人中有126例治疗后痊愈,14例临床症状体征明显改善,未出现永久性严重并发症,随访3个月～3年,15例病人复发。结论经导管介入栓塞瘘口是治疗外伤性颈内动脉海绵窦瘘的一种行之有效方法,其具有创伤小、疗效好、并发症少等优点,为治疗该病首选方法。

The Endovascular Embolization for Traumatic Carotid-cavernous fistula(TCCF) with Detachable balloon:140 Cases Report

Objective To observe the clinical effi ciency in interventional embolization for Traumatic carotid-cavernous fistula（TCCF） with detachable balloon. Methods To take the catheter into the common carotid artery with angiography through the femoral artery or the ill-side common carotid artery to diagnose correctly. Then superselective injections using a microcatheter with fistula,the ean supply the fistula for and the purpose of cure is reached. Results All 140 patients,including 126 cases was restored after treatment,14 cases was perfect clearly in symptom and no serious perpetuity complication was observed. The follow-up was carried on from 3 months to 3 years and 15 recurrences were found. Conclusion： Transcatheter interventional embolization is an effective method in treating TCCF. It is possessed of microinvasive,effi ciency and less complication and the fi rst way to treat TCCF.